Medicare Nurse jobs

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Nurse Per Diem Bristol
Cathleen Naughton Associates - Providence, RI
Local certified visiting nurse agency is looking for per diem nurses in the East Bay, Bristol and Portsmouth areas....
Easily apply
Sponsored by Cathleen Naughton Associates
Prior Authorization Nurse Supervisor - $3K Sign On Bonus - H...
UnitedHealth Group 2,120 reviews - Honolulu, HI
Registered Nurse, RN, Supervisor, Manager, Charge Nurse, Utilization Management, Milliman, MCG, Medicaid, Medicare, Honolulu, HI, Hawaii....
Sponsored by UnitedHealth Group
RN Service Coordination Manager
Driscoll Children's Hospital 21 reviews - Corpus Christi, TX
Knowledge of Medicare preferred. Minimum of 3 years of clinical experience as a Registered Nurse with one year of experience as a case manager or managed care...
Sponsored by Driscoll Children's Hospital
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Intake RN JV

UPMC 294 reviews - Pittsburgh, PA
Proficiency in Medicare, Medicaid and commercial insurance regulations and in JCAHO standards required. UPMC Jefferson Regional Home Health is hiring a full...

Manager of Utilization Management- Telecommute

UnitedHealth Group 2,120 reviews - Baltimore, MD
Proficient knowledge of Medicare and CMS utilization management guidelines and requirements. Reviewing the nurses' caseloads on a daily basis to ensure optimum...

Registered Nurse - Clinical Access Team (Work at Home - FLOR...

Humana 977 reviews - Tampa, FL
Previous Medicare experience and familiarity with CMS guidelines. Be a part of our Clinical Space – as a Clinical Advisor RN on the Clinical Access Team you...

Quality Review Nurse

Brookdale Senior Living 400 reviews - Seminole, FL  +2 locations
Registered Nurse state licensure. 3-5 years of experience working for a Medicare certified home health agency with 2 years in clinical review, QA, or a...

Clinical Appeals Nurse (RN)

LifeCare Corporate Office - Plano, TX
Coordinates appeals and responses to Medicare contractors (e.g. We have an immediate opportunity for a Clinical Appeals Nurse ( RN )....

Utilization Review Nurse- RN Required

CES, LLC - Nashville, TN
Previous Medicare Medical Review experience is preferred. Utilizes Medicare and Contractor guidelines for coverage determinations....
Easily apply

Registered Nurse (RN), Clinic - Columbia Women's Healthcare

Palmetto Health 159 reviews - Columbia, SC
2 years experience as a registered nurse. Must be licensed as a registered nurse in South Carolina; Must possess a working knowledge of managed care basics and...

Administrative Law Judge Appeals RN

HP 4,011 reviews - Hingham, MA
Registered Nurse with a MA state license. Application of Medicare medical policy for ALJ case in review....

Care Manager/RN/Outreach Services

Carolinas HealthCare System 171 reviews - Charlotte, NC  +1 location
Including Medicaid, Medicare, and Managed Care. Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and...

RN – Clinical Lead Nurse – Madison WI – $3,000.00 Sign On/ R...

Recover Health 59 reviews - Madison, WI
Clinical Lead Nurse. HOME HEALTH CARE – Clinical Lead Nurse. Current unencumbered license to practice as a Registered Nurse in the State of Wisconsin....
Audit Compliance Nurse II, RN
Brown & Toland Physicians 7 reviews - San Francisco, CA
Registered Nurse with current, unrestricted California RN license. The Audit Compliance Nurse prepares for and provides clinical guidance to plan auditors and...
Sponsored by Brown & Toland Physicians
RN Team Leader / Triage
Nightingale Home Healthcare - Carmel, IN
Nightingale Home Healthcare is currently seeking a weekend RN Team Leader Triage Nurse for our Carmel Office location....
Sponsored by Home Care Providers, Inc.

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