Top 817 Unit manager, rn Jobs in Vermont

RN Readmission Manager, Payment Integrity
Centene Corporation —Vermont
- $87,700 - $157,800 a year
- Full-time
- Remote
- Nursing
- RN License
- 3 years
- Paid holidays
- Health insurance
11d
Registered Nurse (RN)
Vergennes Grand Senior Living —Vergennes, VT
- From $41 an hour
- Weekends as needed
- Background check
- CPR Certification
- Nursing
- Health insurance
- Dental insurance
Quick Apply
Assistant Health Service Director
CHESTNUT PLACE SENIOR LIVING —Berlin, VT
- $40 - $42 an hour
- Full-time
- Vital signs
- RN License
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Critical Care Unit Registered Nurse
Southwestern Vermont Medical Center —Bennington, VT
- $32 - $50 an hour
- Part-time
- Background check
- Nursing
- Bachelor of Science
- Health savings account
- Health insurance
Quick Apply
Registered Nurse (MAT Program)
SaVida Health —Bennington, VT
- $75,000 - $90,000 a year
- Full-time
- Bilingual
- Nursing
- Addiction Medicine
- Health insurance
Quick Apply
Nurse Educator (RN) - Flexible Part-Time Schedule!
Wake Robin Corporation —Shelburne, VT
- $36.70 - $44.77 an hour
- Part-time
- Background check
- Nursing
- RN License
- 403(b) matching
- Disability insurance
Quick Apply
Director of Staff Development, RN
The Center for Living & Rehabilitation —Bennington, VT
- Full-time
- RN License
- Mid-level
- Mentoring
- Disability insurance
- Health insurance
Quick Apply
Residential Care Nurse Supervisor (RN)
Wake Robin Corporation —Shelburne, VT
- $92,000 - $115,000 a year
- Monday to Friday
- RN License
- Mid-level
- Residential
- 403(b) matching
- Disability insurance
Quick Apply
Registered Nurse - Developmental Services - Springfield
HCRS —Springfield, VT
- $70,000 - $80,000 a year
- Experience working with individuals with developmental disabilities
- CPR Certification
- RN License
- Paid holidays
- Health insurance
Quick Apply
Certified Registered Nurse Anesthetist (CRNA)
Copley Hospital —Morrisville, VT
- $130 - $135 an hour
- Part-time
- Nursing
- PALS Certification
- BLS Certification
Registered Nurse (RN)- PT/FT $7,500 Sign-on Bonus
Birchwood Terrace Rehab and Healthcare —Burlington, VT
- Up to $55 an hour
- Part-time
- Acute care
- CPR Certification
- Nursing
- Health insurance
- Dental insurance
Quick Apply
Per Diem Registered Nurse (RN)
Wake Robin Corporation —Shelburne, VT
- $36.70 - $44.77 an hour
- Evening shift
- RN License
- Residential
- In-person
- Loan forgiveness
Quick Apply
Home Infusion RN
Dynamic Access LLC —Burlington, VT
- Full-time
- RN License
- Mid-level
- 3 years
Quick Apply
Registered Nurse (RN)
The Center for Living & Rehabilitation —Pownal, VT
- $36 - $46 an hour
- Part-time
- RN License
- Entry level
Quick Apply
Psychiatric Registered Nurse III
State of Vermont - Department of Mental Health —Berlin, VT
- $44.60 - $69.74 an hour
- Overtime
- Background check
- Nursing
- Psychiatry
- Wellness program
- Paid holidays
Full Time Nurse/Community Care Coordinator Evenings
CHESTNUT PLACE SENIOR LIVING —Berlin, VT
- $40 - $42 an hour
- Full-time
- Vital signs
- RN License
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse, Evening Shift
The Center for Living & Rehabilitation —Bennington, VT
- Part-time
- RN License
- Entry level
Quick Apply
Infection Preventionist (RN)
The Pines at Rutland Center for Nursing & Rehabilitation —Rutland, VT
- $46 - $56 an hour
- Full-time
- Nursing
- RN License
- Mid-level
RN ICU $2720/week
EDGEGLOBAL —Saint Johnsbury, VT
- $67 - $68 an hour
- Overtime
- Nursing
- Surgery
- RN License
Quick Apply
3d
Registered Nurse at North End Ranch Developmental Services
Rutland Mental Health Service, Inc. —Rutland, VT
- Full-time
- CPR Certification
- Nursing
- RN License
- Health savings account
- Health insurance
Quick Apply

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unit manager, rn jobs near vermont

RN Readmission Manager, Payment Integrity

Centene Corporation -
Vermont

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Job Details

Full-time
$87,700 - $157,800 a year
11 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Medical claims processing software
Healthcare team management
Healthcare reimbursement methods
Healthcare coding investigations
Documentation reviews
DRG

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

A Licensed RN paired with a Coding Credential is the candidate this team is seeking for this position that will lead and oversee PI initiatives focused on potentially preventable readmissions, cost recovery, cost avoidance, and payment accuracy. You will lead a team focused on expanded readmission reviews allowing CNC to ensure payment accuracy as well as alignment with internal policies and regulatory requirements. Experience Required for all RN's with Coding Credentials applying:

5 + years of progressive experience in Payment Integrity, including readmission review and DRG validation activities, required.
3+ years of people leadership experience, including direct management of teams, required.
2+ or more years of experience using Diagnosis Related Group encoder and grouper tools (for example, 3M, Optum Encoder, TruCode, TruBridge, WebSTRAT, Payment Systems Incorporated, or similar tools), required.

Position Purpose:
Manages a team of auditors and clinical professionals and is accountable for audit quality, consistency, and overall program performance for potentially preventable readmissions. Oversees payer readmission review programs to ensure accurate, compliant determinations and achievement of payment integrity objectives. This role directs the identification and validation of potentially preventable readmissions while supporting appropriate reimbursement under MS-DRG and APR-DRG methodologies. Responsible for driving program results through audit oversight, trend analysis, and the development of standardized review criteria and best practices.

Lead and oversee Payment Integrity initiatives focused on potentially preventable readmissions, cost recovery, cost avoidance, and payment accuracy, ensuring alignment with established objectives, internal policies, and regulatory requirements.
Collaborate with Health Plans, Medical Economics, Finance, Compliance, Legal, Provider Relations, and Technology teams to support the design, execution, and ongoing monitoring of readmission and DRG-related Payment Integrity strategies.
Monitor program performance against defined metrics, financial targets, and operational benchmarks, using trend analysis to identify risks, variances, and opportunities for improvement.
Provide leadership and operational oversight to teams performing readmission, MS-DRG, and APR-DRG reviews, ensuring accuracy, consistency, timeliness, and adherence to established review standards.
Ensure compliance with federal and state regulations, managed care organization requirements, contractual obligations, and internal policies governing Payment Integrity and audit activities.
Prepare and present reports, analyses, and performance summaries to leadership and key stakeholders, highlighting audit outcomes, trends, and actionable recommendations.
Identify process gaps, operational risks, and control weaknesses, and implement or recommend corrective actions to improve quality, efficiency, and program effectiveness.
Lead, coach, and develop team members by setting clear expectations, promoting accountability, and fostering a culture of collaboration, quality, and continuous improvement.
Serve as a subject matter expert for Payment Integrity practices within assigned scope, providing guidance on readmission review methodology, audit standards, and reimbursement considerations.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:

Bachelor’s degree in Healthcare Administration, Business, Public Health, Health Information Management, Nursing, or a related field required; an additional four (4) years of directly related experience may be considered in lieu of a degree.

5 + years of progressive experience in Payment Integrity, including readmission review and DRG validation activities, required.
3+ years of people leadership experience, including direct management of teams, required.
2+ or more years of experience using Diagnosis Related Group encoder and grouper tools (for example, 3M, Optum Encoder, TruCode, TruBridge, WebSTRAT, Payment Systems Incorporated, or similar tools), required.
Experience working with payer claims systems preferred.
Demonstrated experience supporting government programs, regulatory compliance, or audit activities preferred.
Project management experience preferred.
Experience partnering with external vendors supporting Payment Integrity audit, recovery, or edit programs preferred.
Inpatient hospital documentation improvement experience preferred.

Master’s degree preferred.

License/Certification: Active Health Information Management or coding credentials required, such as RHIT, RHIA, CCS, CIC, or CCDS or Registered Nurse licensure or higher clinical qualification, in combination with a coding credential, required.

Pay Range: $87,700.00 - $157,800.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

unit manager, rn jobs in vermont

RN Readmission Manager, Payment Integrity

Registered Nurse (RN)

Assistant Health Service Director

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Nurse Educator (RN) - Flexible Part-Time Schedule!

Director of Staff Development, RN

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Registered Nurse - Developmental Services - Springfield

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Home Infusion RN

Registered Nurse (RN)

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Full Time Nurse/Community Care Coordinator Evenings

Registered Nurse, Evening Shift

Infection Preventionist (RN)

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Registered Nurse at North End Ranch Developmental Services

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