- Evolent (Columbus, OH)
- …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
- Medical Mutual of Ohio (OH)
- …in the state of Ohio in one of the following: Registered Nurse (RN), Licensed Practical Nurse (LPN), Licensed Independent Social Worker (LISW) or ... or fully remote; Ohio residents preferred. Prior Authorization experience or appeals preferred._** **Responsibilities** . Delivers and facilitates a variety of… more
- Trinity Health (Columbus, OH)
- …RHIA, RHIT, CCS, CPC/COC or other coding credentials and/or Licensed Vocational Nurse / Licensed Practical Nurse licensure is required. CHC ... accordingly. Epic experience desired. 9. Experience and knowledge of working on appeals for insurance denials and identifying root cause. 10. Knowledge of Hospital… more