- NavitsPartners (Boston, MA)
- Job Title: Travel - Registered Nurse ( RN ) - Case Management Location: Hyannis, MA Assignment Type: Travel Contract Duration: 13 Weeks Shift: Monday to Friday ... - $2,890 Position Overview: We are seeking an experienced Registered Nurse ( RN ) specializing in...established escalation protocols when criteria are not met Facilitate appeals and initiate required notices (eg, HINN, discharge … more
- MLee Healthcare Staffing and Recruiting, Inc (De Soto, IA)
- …Qualifications: Graduate from an accredited school of nursing / College, University. Current State Registered Nurse ( RN ) license or Compact Registered ... Registered Nurse - Med / Surg... Registered Nurse - Med / Surg & Emergency Room...Time We are seeking a highly motivated and compassionate Registered Nurse to join our growing team… more
- State of Colorado (Denver, CO)
- …Rights Minimum Qualifications: Education/Licensure/Certification/Experience: Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing ... of the department's action. For more information about the appeals process, the official appeal form, and how to...Do you have a current, valid licensure as a Registered Nurse from the Colorado Board of… more
- Sharp HealthCare (La Mesa, CA)
- …Qualifications 3 Years Recent acute care nursing experience or case management experience. California Registered Nurse ( RN ) - CA Board of Registered ... Placement within the range is based on years of RN experience. What You Will Do The RN...Cycle/HIM regarding RAC decision to appeal, denials, input into appeals , share findings with providers. Review all cases with… more
- MLee Healthcare Staffing and Recruiting, Inc (Lincoln, NE)
- …Qualifications: Graduate from an accredited school of nursing / College, University. Current State Registered Nurse ( RN ) license or Compact Registered ... Registered Nurse - Med / Surg... Registered Nurse - Med / Surg & Emergency Room...Current BLS, ACLS, and PALS certification. Med / Surg RN experience preferred. New Grads are Welcome! Benefits: Paid… more
- Boston Childrens Hospital (Boston, MA)
- …and or Utilization Management) preferred. Licensure/ Certifications: Current Massachusetts license as a Registered Nurse ( RN ) A certification as a Certified ... for the appropriate level of care for admissions and with post-discharge appeals of payer denials. They identify and implement initiatives to manage utilization… more
- Baptist Memorial Health Care Corporation (Memphis, TN)
- Overview Specialist-Denial Mitigation II RN Job Code : 21432 FLSA Status Job Family : FINANCE Job Summary * Position may be filled in Memphis, TN; Jackson , MS The ... Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC...and maximize customer satisfaction. Submits retro-authorization requests, reconsiderations, and appeals with careful regard to payer specific timeframes, contractual… more
- State of Colorado (Denver, CO)
- …the job announcement close date. MINIMUM QUALIFICATIONS: Applicants must possess a valid, active Registered Nurse License from the State of Colorado or any state ... have four (4) years of professional experience as a Registered Nurse . SUBSTITUTIONS: Appropriate education will substitute...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …(HP III RN ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5019261) Apply Registered Nurse Health Compliance Inspector Home Care - ... Registered Nurse Health Compliance Inspector Home Care -...FAA00094 (HP III RN ) Salary $80,916.00 Annually Location Denver, CO Job Type Full Time… more
- State of Colorado (Denver, CO)
- …(HP III RN ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5010527) Apply Registered Nurse , Complaints Health Compliance Inspector - ... Registered Nurse , Complaints Health Compliance Inspector -...FAA00438 (HP III RN ) Salary $80,916.00 - $90,648.00 Annually Location Denver, CO Job… more
- State of Colorado (Golden, CO)
- Registered Nurse I, RN I...of the department's action. For more information about the appeals process, the official appeal form, and how to deliver ... Mountain, Youth Services Center - Golden Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5019028) Apply Registered Nurse I, RN I -… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical Case Manager* PRN * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound commitment to ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...payer guidelines and discharge financial implications. * Manages denial appeals and chart audit reviews. *7. Case Management** Acts… more
- Molina Healthcare (Midvale, UT)
- **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state of UTAH or have a compact license._ _This ... appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of… more
- Corewell Health (Southfield, MI)
- …with revenue cycle structure and process. Required + Background in Case Management. Preferred + Registered Nurse ( RN ) - State of Michigan Will consider out ... Must have a Michigan RN License Scope of Work: Responsible for completing...not meet the expected payment as modeled. The Clinical Appeals Nurse will write comprehensive, factual arguments… more
- Ascension Health (Wichita, KS)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... related to coding, medical records/documentation, precertification, reimbursement and claim denials/ appeals . + Assess and coordinate discharge planning needs with… more
- St. Luke's University Health Network (Allentown, PA)
- …Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. . ... of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding… more
- State of Colorado (CO)
- CDOC Registered Nurse ( Nurse I) Print...RN license. 07 Do you possess an active RN license issued by an Enhanced Nurse Licensure ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4963973) Apply CDOC Registered Nurse ( Nurse I) Salary $7,591.00 - $10,627.00 Monthly… more
- Sacramento County (Sacramento, CA)
- …read and understood the above instructions. 02 Select the one box that best describes your Registered Nurse ( RN ) license issued by the State of California. + ... Registered Nurse D/CF (Level I/II) Print...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- Sacramento County (Sacramento, CA)
- Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply Supervising Registered Nurse ... are at 5:00 pm on: 2/3/25, 4/7/25, 6/2/25, 8/4/25, 10/6/25, 12/1/25 Supervising Registered Nurse - Detention/Correctional Facility is the first level supervisory… more
- State of Colorado (Sterling, CO)
- CDOC Registered Nurse - Part-time - Sterling Print...Yes + No 06 Do you possess an active RN license issued by an Enhanced Nurse Licensure ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4992041) Apply CDOC Registered Nurse - Part-time - Sterling Salary...Colorado? If so, what state issued your license? 07 Nurse Licensure Compact: If appointed to an RN… more
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