- Elevance Health (Mason, OH)
- ** Nurse Appeals - Medicare ** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... some shifts from Tuesday to Saturday and coverage on certain holidays. The ** Nurse Appeals - Medicare ** is responsible for investigating and processing and… more
- Molina Healthcare (Cincinnati, OH)
- …appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for … more