- Sedgwick (Sacramento, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Medicare Compliance **PRIMARY PURPOSE** **:** To provide ... medical cost projections. + Serves as a consultant to Medicare Compliance Nurses on claims. + Applies...from an accredited college or university preferred. Active unrestricted RN license issued in a state or territory of… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …protocol submission to assist with MCA determinations/study design + Bachelor's Degree or RN Credential required + 5 years of Medicare coverage analysis ... of research activity in an academic medical center + Knowledge of billing compliance and Medicare regulations/policy, applicable federal, state, and local laws,… more
- Northwell Health (Westbury, NY)
- …coding rules and regulations to the validation review process. + Reviews codes on Medicare /non- Medicare charts for compliance to rules and conventions. + ... **Req Number** 128397 Job Description Seeking RN - BSN or MSN candidates with a...entry date. + Current License to practice as a Registered Professional Nurse in New York State… more
- AdventHealth (Orlando, FL)
- …experiences you'll need to succeed:** **EDUCATION AND EXPERIENCE REQUIRED:** + Associates Degree Nursing or RN Diploma degree + Registered Nurse ( RN ) + ... of emergency cases: 89,018 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social...are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare… more
- AdventHealth (Kissimmee, FL)
- …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... patient notifications are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare Outpatient Observation… more
- AdventHealth (Orlando, FL)
- …+ Associate of Science degree in Nursing (ASN) + Current valid license as a Registered Nurse in the state of Florida + Two (2) years of medical/hospital ... St, Orlando, FL 32803 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social...are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare… more
- BrightSpring Health Services (Louisville, KY)
- …to the governing board + Additional responsibilities as assigned Qualifications + Registered Nurse with current licensure to practice in assigned state(s) ... or compliance review + Maintains current knowledge related to Medicare Conditions of Participation and the Community Health Accreditation Program's (CHAP)… more
- Humana (Springfield, IL)
- …procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN Compliance Nurse 2, Quality Assurance Audit ensures mandatory reporting ... a part of our caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ensure… more
- Penn Medicine (Lancaster, PA)
- …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 (Lancaster, PA)
- …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