- Compass Health Network (Raymore, MO)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our...ensure our clients are taken care of. An Outpatient Nurse will have a Monday through Friday schedule with… more
- Compass Health Network (Sullivan, IL)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... to best serve our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care… more
- Compass Health Network (Arnold, MO)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our...ensure our clients are taken care of. An Outpatient Nurse will have a Monday through Friday schedule with… more
- RestoraCare Staffing (Houston, TX)
- RestoraCare Staffing is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: Case ... Social Work program. Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid license as a… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for ... and appeal processes and escalates timely filing requests to Leadership.Collaborates with Clinical Denials Nurse , Coding Denials Specialists, and Leadership in… more
- Penn State Health (Hershey, PA)
- …Garrett C. Kieffer at ###@pennstatehealth.psu.edu 100% Remote Position **SUMMARY OF POSITION:** The clinical appeals nurse will be responsible for reviewing ... Instructions for Job Applicants PDF for more detailed steps for assistance._ **Position** Clinical Appeals Nurse ( Clinical Documentation / Clinical … more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Clinical Appeals Nurse Manager? At Parallon, you come first. HCA Healthcare ... and you have the opportunity to make a difference. We are looking for a dedicated Clinical Appeals Nurse Manager like you to be a part of our team. **Job… more
- Actalent (Dayton, OH)
- We are currently hiring for a Clinical Appeals Nurse in a fully REMOTE role! A candidate MUST have their RN and be licensed to practice in the state of Ohio. ... opportunity to be extended or turn into something more long-term. Description: The Clinical Appeals Nurse is responsible for the completion of clinical … more
- Actalent (Dayton, OH)
- We are hiring for a Clinical Appeals Nurse (RN). This is a fully remote role for someone who is licensed in Ohio! Description: Job Summary: The Clinical ... Appeals Nurse is responsible for the completion of clinical appeals and state hearings from all states. Essential Functions: * Responsible for the… more
- R1 RCM (Salt Lake City, UT)
- …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 (Boise, ID)
- …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
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... the safety net required to achieve that purpose. Job Summary The Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for executing… more
- CVS Health (Hartford, CT)
- …Basic awareness of problem solving and decision making skills Position Summary The Appeals Nurse Consultant position is responsible for processing the medical ... a production role and remains as part of the Nurse Appeal Consultant job code. Primary duties may include,...in a team environment while working remotely. The Medicare Clinical Appeals Team C Member/Non-Par Team operates… more
- Penn Medicine (Philadelphia, PA)
- …your life's work? **Summary:** Responsible for coordinating office activities for the Clinical Appeals Coordinators to assist the department in accomplishing the ... the appeal process if appropriate. + Interacts with on-site nurse reviewers to provide required ID badges, Statement of...continuity of communication. + Supports the activities of the Clinical Appeals Coordinator in all phases of… more
- Kepro (Indianapolis, IN)
- …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 ... to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions...Utilization Management Appeals Nurse - LPN/RN will help orchestrate… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... and executes the appeal process for all AHS facilities clinical appeals and third party audits. **DUTIES...health plan. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California, Active BLS -… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, ... safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II… more
- CVS Health (Hartford, CT)
- …residence with occasional rotational weekend and holiday coverage. Position Summary The Appeals Nurse Consultant position is responsible for processing the ... a production role and remains as part of the Nurse Appeal Consultant job code. Primary duties may include,...in a team environment while working remotely. The Medicare Clinical Appeals Team C Member/Non-Par Team operates… more
- Elevance Health (Los Angeles, CA)
- ** Nurse Appeals - Licensed Nurse **.../grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting ... locations. **Shift:** Monday to Friday from 8:00-5:00 pm PT The ** Nurse Appeals ** is responsible for investigating and processing and medical necessity … more
- Elevance Health (Brentwood, TN)
- ** Nurse Appeals - Licensed Nurse **.../grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting ... Tennessee within 50 miles of one of our PulsePoint locations. The ** Nurse Appeals ** is responsible for investigating and processing and medical necessity … more
