- The University of Vermont Health Network (Elizabethtown, NY)
- …Skills Required:* Minimum 2-year college degree in nursing field. BSN preferred.* Must be a Registered Nurse ( RN ), licensed in good standing in NYS. Must ... keeping for all of employee health documents and reports. The manager is a registered professional nurse manager who is responsible for conducting inpatient Care… more
- Elevance Health (Knoxville, TN)
- ** Nurse Appeals - Licensed Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live in the state of ... 50 miles of one of our PulsePoint locations. The ** Nurse Appeals ** is responsible for investigating and...which would provide an equivalent background. Current active unrestricted RN license to practice as a health professional within… more
- Elevance Health (Costa Mesa, CA)
- ** Nurse Appeals - Licensed Nurse ** **Location:** *The ideal candidate must reside in the state of California and live within 50 miles of our Woodland Hills ... **Shift:** Monday to Friday from 8:00-5:00 pm PT The ** Nurse Appeals ** is responsible for investigating and...which would provide an equivalent background. Current active unrestricted RN license to practice as a health professional within… more
- Elevance Health (Costa Mesa, CA)
- ** Nurse Appeals - California candidates only** **Location: This is a virtual position and prefer candidates reside within 50 miles of an Elevance Health ... make an impact:** Responsible for investigating and processing and medical necessity appeals requests from members and providers. **Primary duties may include, but… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …(SNF/LTAC/ARU), Outpatient, DME, and Complex Care Needs. Essential Qualifications + Current licensed Registered Nurse ( RN ) with state licensure. Must retain ... provides Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal reviews and clinical quality oversite. This… more
- Kepro (Indianapolis, IN)
- …health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/ RN to join our growing team. Job ... Summary: Our Utilization Management Appeals Nurse - LPN/ RN will...applicable to the position assignment. Required Qualifications/Experience: + Active Registered Nurse ( RN ) or Licensed… more
- HCA Healthcare (San Antonio, TX)
- …our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Appeals Nurse RN with Parallon you can be a part of ... our organization. We are looking for an enthusiastic Clinical Appeals Nurse RN to help...What qualifications you will need: Currently licensed as a Registered Nurse ( RN ) in the… more
- Molina Healthcare (TX)
- **_For this position we are seeking a REGISTERED NURSE ( RN ) with prior experience in Utilization Review / Utilization Management and knowledge of Interqual / ... appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of… more
- R1 RCM (Salt Lake City, UT)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical ... what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical...external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + Active AHIMA or… more
- Universal Health Services (Richmond, VA)
- …CBO is seeking a dynamic and talented Clinical Documentation Improvement (CDI) Nurse . The Clinical Documentation Improvement (CDI) Nurse provides clinically ... Qualifications Education, Training, Experience and Licenses/Registrations Required: + Current RN license and maintained during employment in this position +… more
- Banner Health (AZ)
- …contracted review agencies, other facilities/services, physician's offices. MINIMUM QUALIFICATIONS Requires Registered Nurse ( RN ) licensure in the state ... or reviewers to resolve denial management issues, reconsiderations and appeals . 3. Tracks, monitors and documents denial causes and...of practice. In a Behavioral Health setting requires Registered Nurse ( RN ) licensure in… more
- Trinity Health (Saratoga Springs, NY)
- …this creates work life balance. I absolutely love my job!" Teresa A. ** Registered ** ** Nurse ( RN )-Hospice Case Manager - HOMECARE** **-Saratoga&Washington ... exactly how I feel since becoming a Community Hospice RN . Caring for our patients is a rewarding life...need:** + A current license to practice as a Registered Nurse in the State of New… more
- State of Colorado (CO)
- CDOC Registered Nurse ( Nurse I) Print...RN license. 07 Do you possess an active RN license issued by an Enhanced Nurse Licensure ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4394165) Apply CDOC Registered Nurse ( Nurse I) Salary $7,442.00 Monthly Location Statewide,… more
- American Red Cross (NJ)
- …represented by union contract. **WHAT YOU NEED TO SUCCEED** **(Minimum Qualifications)** **:** + Registered nurse license required ( RN ) + Minimum one year of ... step of the blood collection process.** **As a charge nurse you will lead a team, draw blood and,...make a difference by volunteering in a position that appeals to you and allows you to use your… more
- Ascension Health (Manhattan, KS)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... related to coding, medical records/documentation, precertification, reimbursement and claim denials/ appeals . + Assess and coordinate discharge planning needs with… more
- Sacramento County (Sacramento, CA)
- Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply Supervising Registered Nurse ... are at 5:00 pm on: 2/5/24, 4/2/24, 6/3/24, 8/5/24, 10/7/24, 12/2/24 Supervising Registered Nurse - Detention/Correctional Facility is the first level supervisory… more
- Sacramento County (Sacramento, CA)
- …read and understood the above instructions. 02 Select the one box that best describes your Registered Nurse ( RN ) license issued by the State of California. + ... Registered Nurse D/CF (Level I/II) Print...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- Sacramento County (Sacramento, CA)
- …understood the above special requirements. 04 Select the one box that best describes your Registered Nurse ( RN ) license issued by the State of California. + ... Registered Nurse Level I/II Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/2579173)...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- Intermountain Health (Billings, MT)
- **Job Description:** The Registered Nurse ( RN ) is a professional caregiver who assumes responsibility and accountability for assessing, planning, ... implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of technology,...offer a sign-on bonus and/or relocation assistance when applicable.** ** Registered Nurse Scope Of Practice:** As a… more
- Ivyhill Technologies LLC (Tyndall AFB, FL)
- Ivyhill is seeking Registered Nurses ( RN ) for a project in the Tyndall AFB, FL area. The qualified RN will provide Referral Management (RM) activities ... management systems. Will conduct reviews for medical necessity, pre-authorizations, medical appeals , collection and recovery from insurance carriers, and right of… more
