- Mindlance (Rochester, NY)
- Job Title: Travel Nurse / Registered Nurse Job Location: Rochester, NY Zip Code: 14647 Top 3/5 Skills: RN , UAS Assessments, NYS License Summary ... and health care services for members; The SN UAS Nurse may also perform other technical and administrative tasks...location in Upstate NY service area. Must to have: RN with valid and current NYS Nursing Licensure Valid… 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 ... of 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… 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
- 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
- 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 ... position. **Here's what you will experience working as a Clinical Appeals Nurse :** + Conduct...at telephonic hearings if needed. **Required Skills:** + Active Registered Nurse license For this US-based position,… more
- Penn State Health (Hershey, PA)
- …PDF for more detailed steps for assistance._ Indeed.com Sponsored Linked IN Sponsored **Position** Clinical Appeals Nurse ( Clinical Documentation / ... by state of employment or holds a multistate RN license through the interstate Nurse Licensure...Clinical Validation Reviews) **Location** US:PA:Hershey | Registered Nurse | Full Time **Req ID**… more
- R1 RCM (Boise, ID)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help ... position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** +...external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + Active AHIMA or… more
- LA Care Health Plan (Los Angeles, CA)
- …The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse ( RN ) II provides direct assistance to member's with ... Management/ Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC...participating provider groups, and other external agencies. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… 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
- Banner Health (AZ)
- …your future. If you're looking to leverage your abilities - apply today. The Registered Nurse RN Denial Management Specialist is responsible for reviewing ... expertise and oversight in the determination of the clinical appeals and denial management process resulting...with RAC Auditors and other organizations. MINIMUM QUALIFICATIONS Requires Registered Nurse ( RN ) licensure in… more
- LA Care Health Plan (Los Angeles, CA)
- …presentations. Excellent verbal, written communication and presentation skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and ... Manager, Appeals and Grievances General Operations ( RN - Clinical ) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles,… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- …AFB, Fort Walton Beach, FL. Position Type- Onsite EM Key Solutions is seeking a Registered Nurse ( RN ) for a full-time Utilization Review / Management ... Eglin AFB, FL, USA | Hourly | Full Time Registered Nurse - Utilization Manager Location: Eglin...and Purchased Care System referrals, inpatient unit rounds for clinical data collection and providing documentation for appeals… more
- LA Care Health Plan (Los Angeles, CA)
- …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Supervisor, Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US,… more
- Elevance Health (Cerritos, CA)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Nurse Appeals ( RN ) CA** + Job Family: MED > Licensed Nurse ... ANGELES + CA, COSTA MESA + CA, CERRITOS **Description** ** Nurse Appeals - Licensed Nurse **.../grievances/quality of care issues and is a resource for clinical and non clinical team members in… more
- Elevance Health (Memphis, TN)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Nurse Appeals ( RN )** + Job Family: MED > Licensed Nurse + ... TN, KNOXVILLE + TN, KNOXVILLE + TN, KNOXVILLE **Description** ** Nurse Appeals - Licensed Nurse **.../grievances/quality of care issues and is a resource for clinical and non clinical team members in… 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 $7,225.00 Monthly Location Statewide,… more
- University of Virginia (Charlottesville, VA)
- …2 years acute care hospital experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia required. PREFERRED QUALIFICATIONS: ... Inpatient and Outpatient Setting. Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process. They… 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...+ Use and care of medical equipment used in clinical and infirmary settings + Basic medical indications of… 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 *Revised Print...+ Use and care of medical equipment used in clinical and infirmary settings + Basic medical indications of… more
- Ascension Health (Nashville, TN)
- …/ Certification / Registration: + One or more of the following required: + Registered Nurse credentialed from the Tennessee Board of Nursing or current home ... Talent Advisor for additional specifics._ **Responsibilities** Coordinate payer denials and appeals , respond to insurance company requests for medical records, and… more
