- Elevance Health (Seattle, WA)
- ** Nurse Appeals - Licensed Nurse ** **Location:** *The ideal candidate must reside in Washington state and live within 50 miles from our Seattle ... Washington Pulse Point. This position will work a hybrid...50 miles of one of our PulsePoint locations. The ** Nurse Appeals ** is responsible for investigating and… 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)
- ** 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
- 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 (OR)
- …Nurse License in Oregon + Within six months of hire date: Current unencumbered Registered Nurse License in Washington State + Medicare: Insurance business ... **Providence Health Plan is calling a Clinical Program Coordinator RN , Medicare who will:** + Provide care coordination, case...collaboration and management of patient care + Current unencumbered Registered Nurse License in state of residency… 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
- 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
- Elevance Health (Walnut Creek, CA)
- …in interpreting appropriateness of care and accurate claims payment. May also manage appeals for services denied. **How You Will Make an Impact:** + Conducts ... which would provide an equivalent background. + Requires current active unrestricted RN license to practice as a health professional in applicable state(s) or… more
- Elevance Health (Woodland Hills, CA)
- …in interpreting appropriateness of care and accurate claims payment. May also manage appeals for services denied. **How You Will Make an Impact:** . Conducts ... requirements and standards **Required Qualifications:** . Requires current active unrestricted RN license to practice as a health professional within the scope… 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
- Virginia Mason Franciscan Health (Bremerton, WA)
- …**Required Licensure and Certifications:** Current unrestricted licensure as a Registered Nurse in the state of Washington National certification of any of ... Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health… more