• Medicare Annual Wellness Visit Registered…

    SUNY Upstate Medical University (Syracuse, NY)
    …Syracuse Inc. (UUMAS) is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits ... and collaborate closely with Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their… more
    SUNY Upstate Medical University (05/29/25)
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  • Medicare Long Term Services & Support Care…

    AmeriHealth Caritas (Detroit, MI)
    …psychosocial needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services ( CMS ), state, and organizational guidelines, within the ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
    AmeriHealth Caritas (07/23/25)
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  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... for providers and medical groups. + Participate in additional audit activities for CMS RADV as needed, including retrospective chart reviews. + Travel to provider… more
    UCLA Health (08/15/25)
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  • Medicare Sales Account Representative

    BrightSpring Health Services (Knoxville, TN)
    …approved sales and marketing presentations in accordance with applicable Centers for Medicare & Medicaid Services ( CMS ) and State guidelines and standards. ... facility rollout meetings as needed. + Must communicate effectively with Medicare beneficiaries, their families, caretakers, nursing facility management and… more
    BrightSpring Health Services (08/14/25)
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  • Registered Nurse RAC Resident Assessment…

    Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
    …Assessments (CAAs) that are assigned to nursing, adhering to current Centers for Medicare and Medicaid Services ( CMS ) and Veterans Health Administration (VHA) ... and takes corrective action when notified by the CLC management team, charge nurse , or designee of...to the Austin Information Technology Center. Communicating Centers of Medicare and Medicaid Services ( CMS ) guidelines changes,… more
    Veterans Affairs, Veterans Health Administration (08/15/25)
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  • Registered Nurse (RN) - Admissions…

    Bon Secours Mercy Health (Lorain, OH)
    …referrals to establish eligibility for care; understand and communicates Center for Medicare & Medicaid Services ( CMS ) medical necessity and admission criteria. ... excellence. **Primary Function/General Purpose of Position** The Admissions Coordinator Registered Nurse (RN) is responsible for the coordination of all Acute… more
    Bon Secours Mercy Health (05/19/25)
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  • Utilization Management Nurse Team…

    Integra Partners (Troy, MI)
    The Utilization Management (UM) Nurse Team Lead plays a key role in supporting the day-to-day operations of the UM team and serves as a liaison between frontline ... regulatory compliance. Salary: $67,000/annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The UM Nurse Team Lead's responsibilities include but are not limited… more
    Integra Partners (08/07/25)
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  • Utilization Review Nurse - Transition…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ... care indicators and criteria as approved by medical staff, payer guidelines, CMS , and other state agencies. This position prospectively or concurrently determines… more
    Houston Methodist (07/25/25)
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  • Nurse Educator

    Indian Health Service (Pine Ridge, SD)
    …and patient care. Assists in ensuring Nursing Service Compliance with the Center for Medicare and Medicaid Service ( CMS ), as well as Nursing Services Standards ... IHS's outstanding total compensation package for this job: Registered Nurse Total Compensation | Pay (ihs.gov) Assesses the educational...in ensuring Nursing Service Compliance with the Center for Medicare and Medicaid Service ( CMS ), as well… more
    Indian Health Service (08/08/25)
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  • Nurse Practitioner

    Gentiva (Grand Rapids, MI)
    …excellence? If so, consider bringing your clinical expertise to our Hospice Nurse Practitioner team. You'll report directly to the Executive Director or ... the physician's certification or recertification of hospice eligibility-based on CMS regulatory standards.Your assessments help ensure that patients continue to… more
    Gentiva (08/08/25)
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