• RN Medicare Compliance

    Sedgwick (Boston, MA)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Medicare Compliance - Proactive Reduction Outreach **PRIMARY PURPOSE** ... review, and analysis and interpretation of interventions for the preparation of Medicare Set-Aside allocations. **ARE YOU AN IDEAL CANDIDATE?** We are looking for… more
    Sedgwick (09/11/25)
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  • Medicare Annual Wellness Visit…

    SUNY Upstate Medical University (Syracuse, NY)
    …Position Summary: Upstate University Medical Associates at Syracuse Inc. (UUMAS) is seeking a Registered Nurse ( RN ), or Certified Nurse Specialist (CNS), ... resources. Ensure accurate coding and documentation to support quality initiatives and Medicare compliance . Work closely with clinical teams across seven Primary… more
    SUNY Upstate Medical University (08/28/25)
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  • Care Manager, Registered Nurse

    CVS Health (Wake Forest, NC)
    …navigating multiple systems and keyboarding + Willing and able to obtain multi state Registered Nurse ( RN ) licenses if needed, company will provide + ... coordination experience + Candidate must have an active and unrestricted North Carolina Registered Nurse License (in good standing) within the region where job… more
    CVS Health (08/23/25)
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  • Case Manager - Registered Nurse

    CVS Health (Coldwater, MI)
    …are not permitted. **Required Qualifications** + 3+ years clinical practical experience as an Registered Nurse ( RN ) + Candidate must have active and ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...unrestricted Michigan Registered Nurse ( RN ) licensure +… more
    CVS Health (08/16/25)
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  • Case Manager Registered Nurse

    CVS Health (Warren, MI)
    …compassionate. And we do it all with heart, each and every day. **Case Manager Registered Nurse ** WFH Flexible This role will be 25-50%% travel within **Wayne or ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...+ Minimum 3+ years clinical practical experience as a Registered Nurse + Must have active and… more
    CVS Health (09/02/25)
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  • Case Manager Registered Nurse

    CVS Health (St. Paul, MN)
    …toward desired outcomes through assessment and evaluation. **Required Qualifications** + Active Registered Nurse Compact License + Minimum 3+ years clinical ... Utilization Management experience, transitions of care and discharge planning required + Registered Nurse with active state license in good standing within… more
    CVS Health (09/05/25)
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  • Patient Safety Specialist ( Registered

    Cedars-Sinai (Marina Del Rey, CA)
    …loan was given **Req ID** : 11091 **Working Title** : Patient Safety Specialist ( Registered Nurse ) - Medical Affairs, Full-time (Hybrid) **Department** : QA Risk ... The role encompasses the meticulous oversight and continuous evaluation of Centers for Medicare & Medicaid Services (CMS) metrics, including but not limited to Core… more
    Cedars-Sinai (07/30/25)
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  • Case Manager, Registered Nurse

    CVS Health (Phoenix, AZ)
    …Minimum 2+ years CM, discharge planning and/or home health care coordination experience - Registered Nurse with active state license in good standing within the ... tools and information/data. - Utilizes case management processes in compliance with regulatory and company policies and procedures. -...optimal function or return to work. - Develops a proactive course of action to address issues presented to… more
    CVS Health (08/27/25)
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  • Case Manager, Registered Nurse

    CVS Health (Chicago, IL)
    …**Required** **Qualifications** - 3 years clinical practical experience preference required - Registered Nurse with active state license in good standing within ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...tools and information/data. - Utilizes case management processes in compliance with regulatory and company policies and procedures. -… more
    CVS Health (08/14/25)
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  • Care Manager Registered Nurse

    CVS Health (Trenton, NJ)
    …applicant's home). Standard working hours Monday - Friday 8-5 pm **ICM Case Manager RN ** **WFH Flexible** **Position Summary:** Help us elevate our patient care to a ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...member's overall wellness. The ICM care manager develops a proactive plan of care to address identified issues to… more
    CVS Health (07/31/25)
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