- Elevance Health (Woodland Hills, CA)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Nurse Appeals ( RN )** + Job Family: MED > Licensed Nurse + ... + Reference: JR113217 **Location:** + CA, WOODLAND HILLS **Description** ** Nurse Appeals - Licensed Nurse **...which would provide an equivalent background. Current active unrestricted RN license to practice as a health professional within… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Utilization Managment** for a full-time position supporting **Medical Managment** in ... is honored to have been named one of The Washington Post's 2023 Top Workplaces!** Excellent Compensation & Exceptional...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- Elevance Health (Costa Mesa, CA)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Nurse Appeals Ld (US)- CA** + Job Family: MED > Licensed Nurse + ... + CA, PALO ALTO + CA, COSTA MESA **Description** ** Nurse Appeals - California candidates only** **Location: This...would provide an equivalent background. + Current active unrestricted RN license to practice as a health professional within… more
- The Cigna Group (Nashville, TN)
- …duties as assigned. **Qualifications** + Education: Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) + 3-5 years' experience in Medicare Advantage ... **Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst** We...Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington … more
- Universal Health Services (Richmond, VA)
- …network and various related services located all over the US States, Washington , DC, Puerto Rico and the United Kingdom. https://uhs.com/ The Atlantic Region ... CBO is seeking a dynamic and talented Clinical Documentation Improvement (CDI) Nurse . The Clinical Documentation Improvement (CDI) Nurse provides clinically… more
- Providence (Beaverton, OR)
- …Nurse License in Oregon + Within six months of hire date: Current unencumbered Registered Nurse License in Washington State + Case Management Experience ... **Providence Health Plan is calling a Clinical Program Coordinator RN , Maternity / Pediatrics who will:** + Provide care...collaboration and management of patient care + Current unencumbered Registered Nurse License in state of residency… more
- The Cigna Group (Bloomfield, CT)
- …**Requirements** + Bachelor's or associate Degree or Nursing Diploma. + Current RN licensure (unrestricted). Must maintain active nursing license as required by ... years. + Experience with Medicare Advantage clinical reviews for claims, disputes, or appeals . + Experience with DRG coding. + This position requires at least one… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …degree in nursing is strongly preferred **License/Certification:** + Current licensure as an RN by the Washington State Board of Nursing. \#LI-VMFH* **Pay ... an innovative role with baked-in work/life balance?! We have an opening for an RN co-manager of our Virtual Companion service. This novel team provides live video… more
- The Cigna Group (Bloomfield, CT)
- …as needed. + Additional duties as assigned. **Qualifications** + Education: Licensed Practical Nurse or Registered Nurse + 3-5 years' experience in ... **Cigna Healthcare Medicare Appeals Reviewer:** We will depend on you to...Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington … more
- Elevance Health (Woodland Hills, CA)
- …send you a check, or ask you for payment as part of consideration for employment. ** Nurse Medical Management II** + Job Family: MED > Licensed Nurse + Type: Full ... of care and accurate claims payment. May also manage appeals for services denied. **How You Will Make an...provide an equivalent background. + Requires current active unrestricted RN license to practice as a health professional in… more
- Elevance Health (Woodland Hills, CA)
- …send you a check, or ask you for payment as part of consideration for employment. ** Nurse Medical Management I** + Job Family: MED > Licensed Nurse + Type: Full ... of care and accurate claims payment. May also manage appeals for services denied. **How You Will Make an...and standards **Required Qualifications:** . Requires current active unrestricted RN license to practice as a health professional within… more
- Pacific Medical Centers (Seattle, WA)
- …cases that require additional attention to the Executive Director. **Qualification & Experience:** + Registered Nurse and experience as RN - Preferred + ... security issues with the federal government. + Manages the integrity program and appeals process, including ongoing evaluation of the staff who research and prepare … more
- Universal Health Services (Jeffersonville, IN)
- …sciences or Diploma or Associate Degree in Nursing from an accredited school as a Registered Nurse or LPN. Experience: A minimum of one (1) year direct clinical ... good customer service practices are utilized. Maintains denials and appeals logs and reviews the progress of all ...and various related services located all over US states, Washington , DC, Puerto Rico and the United Kingdom. www.uhsinc.com.… more
- Universal Health Services (Jacksonville, FL)
- …with treatment team members, physician's and co-workers throughout the hospital. Qualifications Registered Nurse , LPN or Master's level Social Worker with ... and various related services located in 37 US states, Washington , DC, Puerto Rico and the United Kingdom. River...diagnosis patients for both inpatient and outpatient services. Complete appeals and follow up on all appeals … more