• Clinical Appeals Nurse

    R1 RCM (Chicago, IL)
    …platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Nurse ** , you will help our ... remote, production-driven position. **Here's what you will experience working as a Clinical Appeals Nurse :** + Conduct a detailed review of patient medical… more
    R1 RCM (04/27/24)
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  • Clinical Coding Appeals Nurse

    R1 RCM (Chicago, IL)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help ... remote production-drive position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to… more
    R1 RCM (04/27/24)
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  • Appeals Nurse

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals . The Appeals ... independent determination of the appropriate courses of action. The Appeals Nurse 2 reviews documentation and interprets... 2 reviews documentation and interprets data obtained from clinical records to apply appropriate clinical criteria… more
    Humana (05/09/24)
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  • Medical Oncology Medical Director - Utilization…

    Elevance Health (Chicago, IL)
    ** Clinical Operations Medical Director** **Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management** **$20,000 Sign On Bonus** ... Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology._ The ** Clinical more
    Elevance Health (05/02/24)
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  • Long Term Care Coordinator I

    Centene Corporation (Springfield, IL)
    …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... long term care services + Assist member with filing and resolving complaints and appeals + Performs other duties as assigned + Complies with all policies and… more
    Centene Corporation (04/05/24)
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  • Long Term Care Coordinator I

    Centene Corporation (Springfield, IL)
    …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... long term care services + Assist member with filing and resolving complaints and appeals + Performs other duties as assigned + Complies with all policies and… more
    Centene Corporation (04/24/24)
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  • Long Term Care Coordinator I

    Centene Corporation (Chicago, IL)
    …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... long term care services. + Assist member with filing and resolving complaints and appeals + Performs other duties as assigned. + Complies with all policies and… more
    Centene Corporation (04/20/24)
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  • Long Term Care Coordinator I

    Centene Corporation (Springfield, IL)
    …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... long term care services + Assist member with filing and resolving complaints and appeals + Performs other duties as assigned + Complies with all policies and… more
    Centene Corporation (04/07/24)
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