- Molina Healthcare (Atlanta, GA)
- … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making...these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Elevance Health (Atlanta, GA)
- ** Nurse Appeals - Medicare** **Location:** Virtual:.../grievances/quality of care issues and is a resource for clinical and non clinical team members in ... Tuesday to Saturday and coverage on certain holidays. The ** Nurse Appeals - Medicare** is responsible for...would provide an equivalent background. + Current active unrestricted RN license to practice as a health professional within… more