Home Health RN Navigator - Care Coordination & CMS Guidance
Vetted Solutions
Vetted Solutions seeks an RN Navigator for Home Health Review to monitor CMS eligibility and advocate for patients within the care team. You will review the Home Health Plan of Care for medical necessity and coordinate with agencies, providers, patients, and caregivers. The role emphasizes communication, care management, and adherence to CMS and population health workflows. An RN license in Texas or compact license is required, with 3–5 years of clinical experience, including 2+ years in home #J-18808-Ljbffr Vetted Solutions
- Bluestone Physician Services in Minnesota is seeking a Care Coordinator to empower seniors to navigate their healthcare journey. The role involves managing DHS and CMS requirements for MSHO/MSC+ members, conducting home visits, and coordinating with care teams. The...Work from homeCmsLocal area
- ...3 as a mission-driven health affiliate of Texas Mutual... ..., quality health care for Texans and their families... ...for complex care coordination, care navigation, utilization management... ...is an experienced RN who thrives in a collaborative... ...of NCQA, URAC, CMS, HIPAA, state insurance...CmsWork at officeRemote workFlexible hours2 days per week
- Live Well Homecare is seeking an RN Navigator Home Health Review to monitor CMS criteria for continued services and advocate for patients within a value-based care framework. You will collaborate with PCPs, specialists, and community providers to facilitate seamless transitions...Cms
$58.66k - $142.45k
...Registered Nurse Navigator (RNN) focused on high... ...within the CMS Transforming Episode... ...TEAM). The RNN will coordinate care for Medicare patients... ...long‑term health outcomes. The RNN... ...-up, anticipatory guidance, patient education... ...Registered Nurse (RN) licensure in Massachusetts...CmsFull timeRemote workMonday to Friday3 days per week$58.66k - $142.45k
...Registered Nurse Navigator Mass General... ...patient care, research, teaching... ...Brigham Population Health Services... ...patients within the CMS Transforming... ...General Brigham will coordinate optimal care... ..., anticipatory guidance, patient... ...Registered Nurse (RN) licensure in Massachusetts...CmsFull timeRemote workMonday to FridayFlexible hoursShift work3 days per week- Norman Regional is seeking a Transition of Care Nurse Navigator to manage disease management, care coordination, and patient outreach across the care continuum. You... ...coordinating care with SNFs, LTACs, and home health, and working with NRHS Chronic Care coordinators...Work from home
- Point32Health in Massachusetts seeks a Care Manager - Nursing Field (RN CM) to ensure timely care management across... ...continuum, including transitions of care, care coordination and navigation, complex case management, population health and wellness interventions, and disease/...CmsRemote job
- MarinHealth Nurse (RN) Navigator, Cardiology, Structural Heart coordinates care from referral and test scheduling to treatment... ...ensures robust documentation and CMS/NCDR compliance. Responsibilities... ...transitions of care from hospital to home. Requires BSN and California RN...Cms
- MarinHealth is seeking a Nurse (RN) - Navigator for Cardiology and Structural Heart to coordinate care from referral through treatment options for TAVR, LAAC, TEER, and... ...patients, coordinate with surgeons, and ensure CMS/NCDR compliance. Responsibilities include nursing...Cms
- CommonSpirit Health in Schuyler, NE seeks a Care Coordinator RN to oversee utilization review and care progression, collaborating... ...post-acute providers. You will navigate barriers and ensure evidence-based... ...strategies while aligning with CMS standards in a fast-paced...Cms
- Bluestone seeks a Care Coordinator in Minnesota to empower seniors in navigating their healthcare journey. You will manage DHS and CMS requirements for MSHO/MSC+ members, while traveling locally to meet individuals in homes and assisted living facilities, and supporting...CmsRemote work
- Humboldt Park Health in Chicago, IL is seeking an RN Case Manager to lead utilization management, discharge planning, and care coordination across the continuum of care. You will work with the... ...and financial outcomes, while navigating CMS and payer requirements in a fast...Cms
- Pride Health seeks an experienced Inpatient RN Care Manager to coordinate hospital transitions of care, ensuring safe discharges and... ...with clinicians, and navigate payer and regulatory considerations... ...efficient planning aligned with CMS guidelines. #J-18808-Ljbffr Pride...Cms
- ...destination for world-class health care in Palm Beach... ...Services (CMS). Education Graduate... .../ Qualifications RN- Current RN licensure... ...and in coordination of all aspects of... ...Summary The Nurse Navigator will serve as a single... ...Support Provides guidance and feedback to help...CmsWork at office
- ...Founded in 1887, Dignity Health - California Hospital... ...is a 318-bed, acute care, nonprofit hospital located... ...As our RN Care Coordinator, you will be a central... ...patient care, seamlessly navigating the healthcare journey... ...environment. Knowledge of CMS standards and requirements...CmsRelocation package
- ...Job Description The Regional MDS Coordinator (RN) provides oversight, guidance, and clinical support to multiple Skilled... ...Data Set (MDS) in accordance with CMS, state, and company standards. This... ...routine audits of MDS assessments, care plans, and supporting documentation...Cms
- ...Job Description Position: RN or LPN – MDS Coordinator (Part-Time) Location: Westview... ..., resident-centered care in a supportive environment.... ...submissions in accordance with CMS and state regulations. This... .... Provide education and guidance to nursing staff regarding documentation...CmsPart time
$65k - $75k
...bringing exceptional care to patients living... ...determinants of health, manage transitions... ...Memory Care and Group Home communities... ...our team as a Care Coordinator , empowering Minnesota... ...senior population to navigate their healthcare journey... ...Medicaid Services (CMS) requirements for...CmsFull timeTemporary workWork at officeLocal areaRemote workHome officeMonday to ThursdayFlexible hoursWeekend workAfternoon shift- ...Care Coordinator RN Inspired by faith. Driven by innovation.... ...humankindness. CommonSpirit Health is building a... ...locations, in addition to its home-based services and... ...patient care, seamlessly navigating the healthcare journey... ...Report, PINC AI™, CMS, Healthgrades®, Leapfrog...CmsFull time
$58.98 - $78.67 per hour
...and Responsibilities As our RN Care Coordinator, you will be a central figure... ...in patient care, seamlessly navigating the healthcare journey to... ...plan, engaging other relevant health team members, the patient and... ...environment. Knowledge of CMS standards and requirements....CmsRelocation package- ## RN Case Coordinator- Oncology BWHApplyremote type: Onsitelocations... ..., we support patient care, research, teaching,... ...needed in the home, including but not limited... ...documented in the electronic health record to provide... ...for Joint Commission, CMS, and other surveys as...Work from homeCmsHourly payFull timeWork at officeRemote workFlexible hoursShift workDay shift
- ...Nurse Navigator Ranked #1 for Safety, Quality... ...for world-class health care in Palm Beach County... ...Services (CMS). Education... ...Qualifications Current RN licensure in the... ...relationships and in coordination of all aspects of... ...Provides guidance and feedback to help...CmsWork at office
- ...Care Coordinator RNInspired by faith. Driven by innovation... .... CommonSpirit Health is building a... ...in addition to its home-based services and... ...Care Coordinator RN, you will serve as... ...providers, you will help navigate complex health... ...understanding of CMS standards, and the...Cms
- Greeley County Health Services in Tribune Township... ...Services Clinical Nurse Navigator to oversee oncology... ...patients and ensure seamless care coordination. The role involves... ...degree and an active RN license in Kansas, along... .... Flexible work-from-home options are available....Work from homeRemote jobFlexible hours
- ...RN Case Manager (Home Health Review) The RN Case Manager (Home Health Review... ...continue to meet the CMS criteria for services. As... ...member of the patient's care team, the RN Navigator acts as a patient advocate... ...communication and coordination of care with clinic providers...Work from homeCms
- ...Summary We are seeking an experienced RN Inpatient Care Coordinator for a 13-week travel assignment in... ...plans. · Apply knowledge of CMS requirements to inpatient care and utilization... ...with physicians and payers, and navigating regulatory and reimbursement requirements...CmsContract work10 hours per weekFlexible hoursShift workDay shift
$34.42 - $67.6 per hour
...Optum Home & Community Care, part of the UnitedHealth Group... ...creating something new in health care. We are uniting... ...patients access and navigate care anytime and anywhere... .... The Care Coordinator- Onsite plays an integral... ...skills and utilizing CMS criteria upon admission...CmsHourly payMinimum wageFull timeContract workWork experience placementWork at officeLocal area- ...Point32Health in Massachusetts is seeking a Care Manager – Nursing Field (RN CM) to ensure timely care management across the continuum, including transitions of care, care coordination, and disease management. The RN CM will work with members, caregivers, and providers...CmsRemote work
- ...Tallahassee Memorial HealthCare is seeking a qualified RN for a Rehabilitation Center role encompassing MDS,... ...management, and discharge planning. The position involves coordinating assessments and care planning under CMS guidelines while ensuring compliance with AHCA...Cms
- ...Ochsner Health in Louisiana seeks a Registered Nurse to support... ...planning, utilization review, and care coordination during acute hospitalizations... ...ensuring compliance with CMS guidelines and documentation... ...program completion and active RN license; BLS. #J-18808-Ljbffr...Cms
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