• RN Provider Appeals

    Henry Ford Health System (Troy, MI)
    RN PROVIDER APPEALS COORDINATOR - MEDICAL ...grow our Medical Appeals Team with an experienced Registered Nurse ! We are a team of ... Windows and Microsoft Word. Excel and Access preferred. CERTIFICATIONS/LICENSURES REQUIRED: + Registered Nurse ( RN ) with current Michigan licensure.… more
    Henry Ford Health System (07/10/25)
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  • Appeals and Grievance Specialist

    Commonwealth Care Alliance (Boston, MA)
    …clinical, operations, pharmacy, dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in ... 011540 CCA- Appeals & Grievances **Position Summary** Appeals ...interactions and interventions into CCA database. Member Outreach: + Provide accurate, prompt, and courteous service in response to… more
    Commonwealth Care Alliance (05/21/25)
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  • Registered Nurse Health Compliance…

    State of Colorado (Denver, CO)
    …(HP III RN ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5002223) Apply  Registered Nurse Health Compliance Inspector Home Care - ... Registered Nurse Health Compliance Inspector Home Care -...FAA00601 (HP III RN ) Salary $80,916.00 Annually Location Denver, CO Job Type Full Time… more
    State of Colorado (07/12/25)
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  • Registered Nurse I-Colorado Mental…

    State of Colorado (Denver, CO)
    Registered Nurse I-Colorado Mental Health Hospital in Fort Logan-Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5000402) Apply  ... Registered Nurse I-Colorado Mental Health Hospital in...serving our community. The vision of CMHHIFL is to provide the highest quality mental health services to persons… more
    State of Colorado (07/10/25)
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  • Nurse Care Coordinator - RN

    BayCare Health System (Tampa, FL)
    …as assigned. The Nurse Care Coordinator , RN **Requirements:** + RN ( Registered Nurse ) License + Required Associate's or Diploma Nursing + ... and clinical excellence. **Are you a passionate and dedicated Nurse Care Coordinator , RN seeking...and maintaining clinic compliance with governmental agency standards. + Provide patient care support through phone calls, walk-in triage,… more
    BayCare Health System (06/19/25)
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  • RN Care Coordinator

    Corewell Health (Royal Oak, MI)
    …experience in care management, utilization review, home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon ... and appropriate resource utilization. Works collaboratively on processes to provide effective transition for patients utilizing hospital outpatient, observation or… more
    Corewell Health (07/04/25)
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  • Treatment Center Program Coordinator

    Sacramento County (Sacramento, CA)
    …Psychiatrist, Psychologist, Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating ... a Psychiatrist, Psychologist, Licensed Clinical Social Worker, Marriage Family Therapist, or Registered Nurse . Note: Failure to maintain a required license may… more
    Sacramento County (04/22/25)
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  • RN Investigator - Nurse III - Cmhhip

    State of Colorado (Pueblo, CO)
    …rules and regulations and apply relevant information to the investigation. + Utilize Registered Nurse ( RN ) skills to identify deviations from established ... Job About the position: Schedule: M-F 8AM 5 PM RN Investigator provide clinical nursing expertise and...accredited institution in Nursing Current, valid licensure as a Registered Nurse from the Colorado Board of… more
    State of Colorado (06/28/25)
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  • LPN Care Coordinator - Part Time - Infusion…

    Guthrie (Cortland, NY)
    …Incoming and Outgoing *Sick calls - collect data for review, assessment and instruction from RN or Provider *Results - provide results and any follow up ... refills, patient messages, in basket monitoring, overdue results, referrals, provider orders and support the nurse navigator...have arrived without orders. Prepare educational materials for the RN Nurse Navigator for Chemo Education Visits… more
    Guthrie (07/01/25)
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  • LPN Care Coordinator -Cancer Center-Part…

    Guthrie (Corning, NY)
    …* *Sick calls - collect data for review, assessment and instruction from RN or Provider * *Results - provide results and any follow up needed per provider ... refills, patient messages, in basket monitoring, overdue results, referrals, provider orders and support the nurse navigator...have arrived without orders. Prepare educational materials for the RN Nurse Navigator for Chemo Education Visits… more
    Guthrie (05/01/25)
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  • Managed Care Coordinator

    Elderwood (Cheektowaga, NY)
    …$18.50 - $23.07/Hour Overview Managed Care Coordinator Overview The Managed Care Coordinator assists and supports the LPN/ RN MDS Coordinator with case ... email, scan documents, phone calls) with case managers to provide concurrent updates as requested by Insurance Companies, handles...as applicable and with clinical oversight provided by the LPN/ RN MDS Coordinator . Attends team meetings at… more
    Elderwood (07/04/25)
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  • Quality/Risk Manager ( RN ), Medical Group…

    LifePoint Health (Richlands, VA)
    …ever-changing legislation and safety regulations. Is a liaison to the Risk Manager/ Coordinator , facilities legal team and out-side agencies to mitigate and manage ... procedures. * Works with the Operations Team to create, update and maintain provider manuals. * Educates staff on risk awareness and prevention, confidentiality and… more
    LifePoint Health (06/06/25)
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  • Client Care Aide II - Colorado Mental Health…

    State of Colorado (Pueblo, CO)
    …About the Position: This position works under the supervision and direction of a registered nurse and assists with psychiatric and medical nursing care of ... Care: + Under the direction and supervision of a registered nurse , engage with patients to establish...dignity and respect, maintaining patient's privacy + Communicates to provide or exchange information while keeping registered more
    State of Colorado (06/26/25)
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  • Client Care Aide II - Colorado Mental Health…

    State of Colorado (Denver, CO)
    …About the Position: This position works under the supervision and direction of a registered nurse and assists with psychiatric and medical nursing care of ... Care: + Under the direction and supervision of a registered nurse , engage with patients to establish...dignity and respect, maintaining patient's privacy + Communicates to provide or exchange information while keeping registered more
    State of Colorado (07/02/25)
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  • Health Facilities Evaluator III

    The County of Los Angeles (Los Angeles, CA)
    …ensure the License and Certificate Section of the application is completed for the Registered Nurse License. Provide the title of your required license ... ensure the License and Certificate Section of the application is completed for the Registered Nurse License. Provide the title of your required license… more
    The County of Los Angeles (05/10/25)
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  • Health Care Technician III Instructor - Nursing…

    State of Colorado (Pueblo, CO)
    …Department. The HCT III Instructor works under the direction of a Registered Nurse to demonstrate to others how to provide a safe and therapeutic milieu ... unit maintenance and safety under the supervision of the Registered Nurse Monitors all aspects of patient...patient. + Reports abuse allegations immediately to the charge RN / Nurse Manager/Appointing Authority and refers to the… more
    State of Colorado (07/01/25)
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  • Nurse II - Veteran's Community Living…

    State of Colorado (Garfield County, CO)
    …night shifts to include holiday & weekends as needed + Must possess a valid Registered Nurse License ( RN ) from the Colorado Department of Regulatory Agencies ... of Employment & Appeal Rights Education/Licensure/Certification/Experience: Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or… more
    State of Colorado (04/16/25)
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  • Health Facilities Program Manager, Nursing

    The County of Los Angeles (Los Angeles, CA)
    …ensure the License and Certificate Section of the application is completed for the Registered Nurse License. Provide the title of your required license ... LICENSE: A valid, active license (without limitations or restrictions) to practice as a Registered Nurse issued by the State of California Board of Registered more
    The County of Los Angeles (06/05/25)
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  • Mental Health Clinician I (Part-time)- Colorado…

    State of Colorado (Denver, CO)
    …on the unit. + communicate to provide or exchange information while keeping registered nurse and other staff informed of patient status and patient issues. ... serving our community. The vision of CMHHFL is to provide the highest quality mental health services to persons...position works under the supervision and direction of a registered nurse and assists with psychiatric nursing… more
    State of Colorado (06/26/25)
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  • High Risk Nurse Care Manager

    Children's Mercy Kansas City (Kansas City, MO)
    …or demonstrated leadership skills in a previous role + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon ... processes and data related to medical necessity denials, clinical appeals , long length of stay rounds, and clinically/financially risky...hire + One of the following: Licensed RN - Kansas, Registered Nurse more
    Children's Mercy Kansas City (06/18/25)
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