• Medicare /Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …research, as necessary on all new and revised coding logic, related Medicare /Medicaid policies for review /approval through the Payment Integrity governance ... ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also...Optum CES and Zelis edits. + Quarterly and Annual review and research, as necessary on all new CPT… more
    Commonwealth Care Alliance (05/28/25)
    - Related Jobs
  • Registered Nurse ( RN

    Penn Medicine (Lancaster, PA)
    …placement in position for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing under supervision and if ... the graduate registered nurse holds a current temporary practice... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
    Penn Medicine (08/13/25)
    - Related Jobs
  • Registered Nurse RN Case…

    HCA Healthcare (Richmond, VA)
    …every year, nurses at Chippenham Hospital have the opportunity to make a real impact. As a Registered Nurse RN Case Manager you can be a part of change. ... and improve positive outcomes for your patients as a Registered Nurse RN Case Manager....continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process,… more
    HCA Healthcare (07/26/25)
    - Related Jobs
  • Registered Nurse ( RN ) Spine…

    Penn Medicine (Lancaster, PA)
    …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... registered nurse holds a current temporary practice permit.... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully… more
    Penn Medicine (08/07/25)
    - Related Jobs
  • Registered Nurse - Acute - Critical…

    Marshfield Clinic (Marshfield, WI)
    …teamwork come together to support the most exciting missions in the world!** **Job Title:** Registered Nurse - Acute - Critical Care - Surgical ICU (Experienced ... Health Workforce (https://bhw.hrsa.gov/funding/apply-loan-repayment/ nurse -corps) ._** **JOB SUMMARY** The Registered Nurse -Hospital functions as a vital member… more
    Marshfield Clinic (06/29/25)
    - Related Jobs
  • Registered Nurse I, RN I…

    State of Colorado (Golden, CO)
    Registered Nurse I, RN I - Campus at Lookout Mountain, Youth Services Center - Golden Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5008113) Apply  Registered Nurse I, RN I - Campus at Lookout Mountain, Youth Services Center… more
    State of Colorado (07/16/25)
    - Related Jobs
  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Lorain, OH)
    …and operational excellence. **Primary Function/General Purpose of Position** The Admissions Coordinator Registered Nurse ( RN ) is responsible for the ... **Education** _._ Bachelor of Science Nursing (required) **Work Experience** 3 years of Registered Nurse ( RN ) clinical experience (required) 2 years of… more
    Bon Secours Mercy Health (05/19/25)
    - Related Jobs
  • Registered Nurse RN Care…

    AdventHealth (Hinsdale, IL)
    …for Discharge Planning + Conflict management and resolution skills + Teamwork principles + Registered Nurse ( RN ) Required + Certified Case Manager (CCM) ... OAK ST, Hinsdale, 60521 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
    AdventHealth (08/07/25)
    - Related Jobs
  • Registered Nurse - Payment Integrity…

    LA Care Health Plan (Los Angeles, CA)
    Registered Nurse - Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position ... of Microsoft Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted… more
    LA Care Health Plan (07/06/25)
    - Related Jobs
  • Registered Nurse RN Care…

    AdventHealth (Orlando, FL)
    …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... UNDERHILL ROAD, Orlando, 32822 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
    AdventHealth (08/15/25)
    - Related Jobs