- Evolent (Albany, NY)
- …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
- 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