- Evolent (Columbus, OH)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a meaningful impact ... as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to… more
- State of Colorado (Limon, CO)
- CDOC Licensed Practical Nurse (LPN)...of the department's action. For more information about the appeals process, the official appeal form, and how to ... -- Limon Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4928003) Apply CDOC Licensed Practical Nurse (LPN) -- Limon Salary $3,946.00… more
- Centene Corporation (New York, NY)
- …preferred. RN or LPN Preferred NY State License Required **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required or + LVN ... Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to...- Licensed Vocational Nurse required or + RN...- Licensed Vocational Nurse required or + RN - Registered … more
- State of Colorado (Aurora, CO)
- Full-time/Part-time LICENSED PRACTICAL NURSE III - Fitzsimmons Veterans Community Living Center Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4924988) Apply Full-time/Part-time LICENSED PRACTICAL NURSE III - Fitzsimmons Veterans… more
- State of Colorado (Pueblo, CO)
- …to explain work processes, train, and assign task to Psychiatric Care Technician, Licensed Practical Nurse , Mental Health Clinician and/or Client Care ... Nurse Residency Program (RN I) - CMHHIP -...mentorship supported by current seasoned RN staff, reflection, theory, practical hands-on experiences and an evidence-based project to aid… more
- State of Colorado (CO)
- …the appropriate box that best describes the amount of time you have actively worked as a licensed Registered Nurse . + None + Less than 1 year + 1-4 years + 5-9 ... CDOC Registered Nurse ( Nurse I) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4762850) Apply CDOC Registered Nurse ( Nurse I)… more
- State of Colorado (Sterling, CO)
- …the appropriate box that best describes the amount of time you have actively worked as a licensed Registered Nurse . + None + Less than 1 year + 1-4 years + 5-9 ... CDOC Registered Nurse - Part-time - Sterling Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4756062) Apply CDOC Registered Nurse -… more
- Molina Healthcare (Long Beach, CA)
- …Completion of an accredited Licensed Vocational Nurse (LVN), or Licensed Practical Nurse (LPN) Program **Required Experience** + Minimum two ... Productivity is important with quick turnaround times. Experience with Appeals , Auditing, and Compliance /Quality will be a good...State Licensed Vocational Nurse or Licensed Practical Nurse in good… more
- South Central Regional Medical Center (Laurel, MS)
- …management. Qualifications Education and Experience + Active Registered Nurse (RN) or Licensed Practical Nurse (LPN) license. + Experience in prior ... REGISTERED NURSE Position: RN Department: Prior Authorization Reports to:...details, alternative medications, and program guidelines. + Follow-up and Appeals : + Monitor the progress of prior authorization requests… more
- Guthrie (Corning, NY)
- … Practical Nursing license in the state in which the position resides. Licenses: Licensed Practical Nurse in the state of position. Essential Functions: ... monitoring, overdue results, referrals, provider orders and support the nurse navigator role. Experience: A minimum of 2 years'...of coverage of ordered medications. * *Coordinate and complete appeals for denials as needed * *Monitor and Review… more
- State of Colorado (Denver, CO)
- …are performed on-site; + Accountable for the work product of Nurse Practitioners and Physician Assistants. Accountability involves direct line authority, clinical ... Conditions of Employment & Appeal Rights Minimum Qualifications: + Applicant must be licensed to practice medicine in the State of Colorado as a Medical Doctor… more
- ManpowerGroup (Columbia, SC)
- …+ **Bachelor's degree** in Social Work **OR** Graduate of an Accredited School of Licensed Practical Nursing (LPN) or Licensed Vocational Nursing (LVN). ... **Interview Format:** Microsoft Teams **Job Overview** We are seeking a **Utilization Management Nurse or Licensed Social Worker** to perform medical reviews and… more
- Waverly Health Center (Waverly, IA)
- …direct and indirect patient care under the direction of a Registered Nurse or Licensed Practical Nurse . Assists licensed staff caring for patients ... Direct Care Worker Registry (Iowa Department of Inspections and Appeals Health Facilities Division). Completion of Nurse ...and Appeals Health Facilities Division). Completion of Nurse Aide II course preferred. + Previous experience in… more
- Medical Mutual of Ohio (OH)
- …in the state of Ohio in one of the following: Registered Nurse (RN), Licensed Practical Nurse (LPN), Licensed Independent Social Worker (LISW) or ... or fully remote; Ohio residents preferred. Prior Authorization experience or appeals preferred._** **Responsibilities** . Delivers and facilitates a variety of… more
- Centene Corporation (Columbia, SC)
- …Driver's License required. Pharmacy Technician, Medical Assistant Licensed Vocational Nurse , Licensed Practical Nurse , Social Work ... Systems), HOS (Health Outcomes Survey), CTMs (Complaints to Medicare), Disenrollments, Appeals , and Grievances. + Collaborates with Provider Relations and other… more