CMS Jobs

The Registered Nurse role within the Hospital at Home program at Avera McKennan Hospital delivers acute-level nursing care to patients in their own residences. The position involves conducting comprehensive patient assessments, developing and managing individualized care plans, and coordinating with interdisciplinary teams including physicians and therapists. Key responsibilities include administering treatments, providing patient and family education, and ensuring safety protocols are maintained in home settings. This opportunity appeals to nurses seeking to redefine inpatient care through a high-autonomy, innovative model that prioritizes patient comfort and satisfaction. The role offers a supportive multidisciplinary culture, opportunities for professional growth through mentorship, and a flexible schedule with minimal call requirements.

This full-time Registered Nurse Case Manager role at Avera McKennan Hospital supports the transition of patients from acute care settings to appropriate levels of post-hospitalization care. The position involves coordinating discharges to skilled nursing facilities, home health services, and rehabilitation centers while collaborating with physicians and payors to ensure efficient, evidence-based treatment. Key responsibilities include managing complex documentation, arranging transportation and medical equipment, and participating in multidisciplinary rounds to maintain continuity of care. The role appeals to nurses seeking a compassionate, mission-driven environment with a strong emphasis on teamwork and patient advocacy. Opportunities for career development through mentorship and hands-on training are available, and the position operates on a day shift schedule within the hospital.

This regular part-time role at Avera Majestic Bluffs supports long-term care residents as a Registered Nurse or Licensed Practical Nurse on the night shift. The position involves developing comprehensive nursing care plans, administering medications, and providing physical and emotional support to patients and their families. Key responsibilities include coordinating with physicians, educating residents on self-care, supervising nursing assistants, and maintaining a safe clinical environment. The role appeals to candidates seeking to work within a compassionate, multidisciplinary team dedicated to moving health forward. The position is based on-site at the facility in the United States.

This full-time nursing position at Avera Oahe Manor serves long-term care residents as either a Registered Nurse or Licensed Practical Nurse. The role involves developing comprehensive care plans, administering treatments, and providing physical and emotional support to patients and their families. Key responsibilities include coordinating with physicians, educating residents on self-care, managing nursing assistants, and maintaining a safe clinical environment. The position offers a rotating shift schedule covering days, evenings, nights, and weekends. The role is appealing due to the organization's compassionate, multidisciplinary culture focused on moving health forward, along with immediate paid time off, retirement matching, and opportunities for career development through mentorship.

The RN Supervisor role within the Healthcare & Medical Services department at Medical City Healthcare involves leading nursing teams to ensure high-quality patient care delivery. Key responsibilities include providing clinical and administrative supervision, coordinating staffing and daily workflows to maintain safe nurse-to-patient ratios, and mentoring staff while collaborating with interdisciplinary teams on care plans and quality initiatives. The position requires strong leadership skills to guide staff in a fast-paced hospital environment and ensure adherence to regulatory standards. This opportunity is appealing for experienced nurses seeking to enhance patient outcomes through a supportive culture focused on professional growth and safety. The role is based on-site and offers a comprehensive benefits package including health insurance and retirement planning.

The Manager, Hospital Pharmacy Operations role at Mercy involves leading daily pharmacy services to ensure safe, efficient, and compliant medication practices for a leading healthcare organization. Key responsibilities include supervising and mentoring pharmacy staff, optimizing workflows and inventory management, and collaborating with interdisciplinary teams to enhance patient care and medication safety. The position requires overseeing regulatory compliance, managing budgets, and driving quality-improvement initiatives using pharmacy automation and EHR systems. This opportunity is appealing for its compassionate culture, focus on professional growth, and the chance to make a meaningful impact on community health. The role is based on-site within the hospital environment.

This full-time Registered Nurse role supports long-term care residents at Avera Brady Health and Rehab through a night shift schedule. The position involves developing comprehensive nursing care plans, administering treatments, and coordinating with physicians and multidisciplinary teams to ensure holistic patient support. Key responsibilities include educating residents and families on self-care, managing medication protocols, and supervising nursing assistants to maintain a safe environment. The role appeals to candidates seeking a compassionate culture focused on moving health forward, offering immediate paid time off, retirement matching, and mentorship opportunities for career growth. The position is based on-site with a 72-hour bi-weekly schedule.

This full-time Registered Nurse role supports long-term care residents at the Avera Majestic Bluffs facility. The position involves developing comprehensive nursing care plans, administering treatments, and providing physical and emotional support to patients and their families. Key responsibilities include coordinating with physicians, directing nursing assistants, and ensuring a safe environment through strict adherence to infection control and medication protocols. The role offers a collaborative, compassionate culture focused on moving health forward, with opportunities for career development through mentorship and hands-on training. The schedule operates on a day shift basis with a rotating weekend and holiday rotation.

This full-time Registered Nurse role is based at Avera Oahe Manor, a long-term care facility, and involves delivering comprehensive nursing care to residents. Key responsibilities include developing individualized care plans, administering medications, coordinating with physicians and multidisciplinary teams, and providing physical and emotional support to patients and their families. The position requires rotating shifts including days, evenings, nights, and weekends. The role is appealing due to the organization's compassionate culture focused on moving health forward, along with benefits such as immediate paid time off, free health insurance options, and opportunities for career development through mentorship and hands-on training.

This full-time nursing position at Avera Oahe Manor serves long-term care residents as either a Registered Nurse or Licensed Practical Nurse. The role involves developing comprehensive care plans, administering medications, and providing physical and emotional support to patients and their families. Key responsibilities include coordinating with physicians, supervising nursing assistants, and ensuring a safe environment through strict adherence to infection control and regulatory standards. The position offers a rotating shift schedule covering days, evenings, nights, and weekends. The role is appealing due to the organization's compassionate, multidisciplinary culture focused on moving health forward, along with immediate access to paid time off, retirement matching, and mentorship opportunities for career growth.

This full-time Registered Nurse role is based at Avera Mary House, a long-term care facility, and operates on a night shift schedule. The position involves developing comprehensive nursing care plans, administering physical and emotional support to residents and their families, and coordinating with physicians and multidisciplinary teams to ensure high-quality care. Key responsibilities include evaluating resident health outcomes, teaching self-care skills, managing nursing assistants, and maintaining a safe environment through strict adherence to safety protocols. The role appeals to candidates seeking a compassionate work culture focused on moving health forward, offering immediate paid time off, retirement matching, and opportunities for career development through mentorship and hands-on training.

The RN Admissions Coordinator - Utilization Management role operates within Carle Health's interdisciplinary team to oversee patient admissions and care transitions across Eureka and BroMenn facilities. Key responsibilities include conducting clinical assessments, coordinating with payers for preauthorization and concurrent reviews, and managing the discharge planning process to ensure appropriate levels of care. The position requires collaboration with physicians and families to optimize patient outcomes while maintaining compliance with Medicare and state regulations. This opportunity appeals to experienced nurses seeking a position that combines clinical expertise with strategic case management in a supportive environment. The role offers a hybrid work arrangement with on-site requirements at Eureka and occasional shifts at BroMenn, providing a chance to contribute to a Magnet-designated organization dedicated to community health and professional growth.

This full-time PACU Charge RN role operates within a hospital's Post Anesthesia Care Unit, focusing on perioperative care leadership. The position involves overseeing daily unit operations, ensuring patient and physician satisfaction, managing staff scheduling, and collaborating with hospital leadership on quality initiatives and accreditation standards. Key responsibilities include maintaining compliance with CMS and state licensure requirements while providing progressive leadership to the nursing team. The role is appealing for its opportunity to lead in a specialized medical setting with a Monday through Friday day shift schedule. It offers a supportive environment with benefits including license reimbursement and professional growth within a collaborative healthcare team. The position requires an active RN license, BLS and ACLS certifications, and prior PACU experience, with a BSN preferred.

This PRN Dialysis Registered Nurse role involves overseeing dialysis treatment operations within a skilled nursing facility partnership. The position requires ensuring regulatory compliance, providing clinical oversight to staff, and conducting comprehensive patient assessments to develop individualized care plans. Key responsibilities include training facility personnel, coordinating care transitions, and facilitating quality assurance initiatives to maintain high standards of patient safety. The role appeals to experienced clinicians seeking a supportive, family-owned environment with a positive culture. It offers a flexible on-site arrangement with variable daily hours based on unit needs, allowing professionals to utilize their expertise in renal care while contributing to a mission of quality patient service.

The Nurse Manager role leads a high-performing nursing team within Medical City Healthcare's Healthcare & Medical Services department. Key responsibilities include providing day-to-day clinical and operational leadership, overseeing staffing and scheduling to maintain optimal nurse-to-patient ratios, and driving quality improvement initiatives using data to ensure regulatory compliance. The position involves mentoring staff, managing unit budgets, and collaborating with interdisciplinary partners to optimize patient outcomes. This opportunity is appealing for forward-thinking leaders who thrive in a fast-paced environment, offering a unique culture that encourages innovation, curiosity, and the adoption of new technologies to transform healthcare delivery. The position requires on-site work within a busy clinical setting.

The Clinical Denials Management Program Coordinator RN role operates within Patient Financial Services at a nationally recognized hospital. The position manages clinically based appeals between the organization and external payers while serving as a liaison for Case Management and other departments. Key responsibilities include reviewing denials against InterQual guidelines, constructing clinically oriented appeal letters, tracking denial trends, and developing corrective action plans to reduce future denials. The role also involves providing educational sessions to staff on reimbursement changes and denial prevention strategies. This position is appealing due to the organization's reputation for excellence, its award-winning workplace culture, and a commitment to fostering a dynamic, inclusive environment. The role requires a current California RN license and significant case management experience.

The Sr. Director, Risk Adjustment Data & Analytics role is a senior leadership position within Alignment Health's data operations team, dedicated to advancing Medicare Risk Adjustment programs. The individual oversees the end-to-end data ecosystem, ensuring integrity and compliance while leading a multidisciplinary team of analysts and engineers. Key responsibilities include driving analytical insights for executive decision-making, maintaining rigorous data governance for audit readiness, and partnering with finance and clinical stakeholders to optimize revenue and care outcomes. This position appeals to candidates seeking to lead high-impact work in a mission-driven organization that prioritizes senior care. The role offers significant growth opportunities within a fast-growing company and is available in a remote work arrangement.

This hybrid role serves as a financial advocate for patients accessing complex specialty medications for serious conditions. The position involves investigating prescription benefits, securing insurance authorizations, and coordinating copay assistance or manufacturer programs to ensure patients can afford their treatments. Key responsibilities include navigating Medicare and Medicaid regulations, resolving insurance denials, and communicating sensitive financial information to patients and healthcare teams. The role appeals to those seeking to make a direct impact on patient care within a collaborative health system, offering opportunities to support vulnerable populations while developing expertise in pharmacy benefits and revenue cycle management.

This part-time Registered Nurse role is based in the Emergency Department at a community hospital within the Saint Luke's health system in Kansas. The position focuses on providing direct patient care across various acuity levels, including triage, stabilization, and managing life support needs alongside physicians and paramedics. Key responsibilities involve performing on-site laboratory testing, collecting patient histories, and participating in quality improvement activities. The role is appealing due to the increased autonomy and flexibility offered in a smaller facility setting, allowing for deeper patient engagement and involvement in daily operations. The environment supports professional growth through leadership opportunities, continuing education, and a collaborative culture that values nurse governance. The position operates on a part-time mid-shift schedule.

This 13-week travel nursing role places a Registered Nurse as a Case Manager within a hospital-based Care Management team in Olympia, Washington. The position involves coordinating patient care, conducting needs assessments, and managing discharge planning for a diverse population ranging from neonates to geriatrics. Key responsibilities include performing utilization reviews, collaborating with interdisciplinary teams, ensuring regulatory compliance, and maintaining documentation using Epic EMR. The role offers the appeal of working with a supportive agency that prioritizes flexibility and administrative ease, allowing nurses to focus on patient outcomes. The schedule consists of day shifts with floating requirements, and the position is ideal for experienced nurses seeking a new location and professional growth.

The Chief Nursing Officer role leads nursing operations at one of Encompass Health's 150+ inpatient rehabilitation hospitals, aligning with a national leader in post-acute care. Key responsibilities include developing patient care policies, collaborating with multidisciplinary teams to ensure superior outcomes, and managing staffing, budgets, and regulatory compliance. This position offers the appeal of working within a supportive, inclusive culture recognized as a Fortune 100 Best Company to Work For, with access to extensive professional development and growth opportunities. The role requires a blend of clinical expertise and strategic leadership to foster a patient-focused environment while maintaining high standards of care.

The Medical Director, Medical Management role at Highmark Inc. leads a physician team responsible for ensuring utilization management aligns with current clinical standards. Key duties include conducting electronic reviews of escalated cases to determine medical necessity, engaging in peer-to-peer discussions, and advising multidisciplinary teams on complex care scenarios. The position also involves developing clinical protocols and managing special projects to improve member care. This opportunity appeals to physicians seeking to impact population health within a collaborative environment that values critical thinking and professional growth. The role is primarily office-based with occasional travel up to 25 percent.

The Medicaid & ACA Manager role supports the strategic and operational execution of Medicaid and Affordable Care Act programs within a trusted Kansas-based healthcare organization. Key responsibilities include building detailed workplans, monitoring performance indicators like medical loss ratios and enrollment trends, and leading cross-functional coordination to ensure regulatory compliance and financial objectives are met. The position appeals to candidates seeking a dynamic environment with a strong emphasis on family, professional growth through training programs, and a collaborative culture that values inclusivity. This full-time position offers flexible work arrangements, including remote, hybrid, or onsite options, for individuals residing in or willing to relocate to Kansas or Missouri.

The Clinical Nurse Coordinator role within Mission Health's Healthcare & Medical Services department focuses on coordinating daily clinical operations to ensure safe, high-quality patient care. Key responsibilities include mentoring nursing staff, collaborating with physicians and interdisciplinary teams to develop care plans, and monitoring workflows for regulatory compliance. The position offers an on-site opportunity to lead quality improvement initiatives and patient safety programs within a leading regional health system. This role appeals to professionals seeking career advancement in a culture that values teamwork, respect, and professional growth while providing comprehensive benefits and a supportive environment for clinical excellence.

This Registered Nurse role at Parham Doctors' Hospital supports adult patients across orthopedic, surgical, and rehabilitation services within an interdisciplinary team. Key responsibilities include conducting patient assessments, administering medications, managing IV therapy, and providing comprehensive education to patients and families. The position emphasizes evidence-based care, accurate electronic health record documentation, and collaboration to ensure safety and quality outcomes. The role appeals to professionals seeking a supportive environment that fosters ongoing professional growth through precepting opportunities and unit-based committees. The hospital offers a comprehensive benefits package including medical, dental, vision, and retirement plans. The position requires a current state RN license and BLS certification, with ACLS preferred.