- Unknown (Reno, NV)
- …2 years of teaching in nursing programs, and 2 years of direct patient care as a registered nurse are required. The ideal candidate will have a current RN ... role also demands a commitment to diversity, the ability to manage student appeals and grievances, and a proactive approach to maintaining the quality of instruction… more
- Unknown (Reno, NV)
- …teaching in nursing programs, and direct patient care as a registered nurse . The role requires a current RN license, experience in supervision, planning, ... teamwork. Responsibilities also include maintaining community relationships, managing student appeals and grievances, and ensuring that students are properly… more
- Unknown (Boise, ID)
- …in nursing programs, and 2 years of direct patient care as a registered nurse . The role requires strong leadership, communication, and organizational skills, ... sites. Applicants for the Assistant Dean position must have a completed MSN, a current RN license, and a minimum of 2 years' experience in an administrative role, 2… more
- Unknown (Boise, ID)
- …of teaching in nursing programs, and 2 years of direct patient care as a registered nurse are required. The ideal candidate will have a strong leadership style, ... overseeing the admission process, writing articulation agreements, and managing student appeals and grievances. The role demands a proactive individual who can… more
- Healthkeeperz, Inc. (Asheville, NC)
- …sociology, social work, nursing or another relevant human services area, or licensure as a registered nurse ( RN ) . Two years of experience working directly ... Persons (LRP) about care teams, services, rights, the grievance and appeals process, available service options, and payer requirements. . Promote customer… more
- Elevance Health (Cleveland, OH)
- ** Nurse Appeals -Licensed Nurse ** **Location** : Ohio, candidates must be residents of Ohio to be considered. **Hybrid 1** : This role requires associates to ... necessary and is dependent on court hearing schedules. The Nurse Appeals is responsible for investigating and...which would provide an equivalent background. .Current active unrestricted RN license to practice as a health professional within… more
- Elevance Health (Indianapolis, IN)
- ** Nurse Appeals ** **Location: Indiana** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law. The ** Nurse Appeals ** is responsible for investigating and...preferred. + 3 years of clinical experience as a Registered Nurse is strongly preferred. + Experience… more
- Elevance Health (Columbus, OH)
- ** Nurse Appeals RN ** **Location** : Ohio-Cincinnati, Columbus, Mason, or Seven Fields _(Must be within commutable distance to the listed locations.)_ ... an accommodation is granted as required by law._ The ** Nurse Appeals ** is responsible for investigating and...would provide an equivalent background. + Current active unrestricted RN license to practice as a health professional within… more
- Elevance Health (Tampa, FL)
- ** Nurse Appeals ** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... an accommodation is granted as required by law._ The ** Nurse Appeals ** is responsible for investigating and...would provide an equivalent background. + Current active unrestricted RN license to practice as a health professional within… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse ( RN ) Manager, Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances ... + Excellent verbal, written communication and presentation skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and… more
- CVS Health (Lansing, MI)
- …with heart, each and every day. **Position Summary** CVS Aetna is seeking a dedicated ** Appeals Nurse Consultant** to join our remote team. In this role, you ... a critical role in ensuring fair and accurate resolution of clinical appeals by applying sound clinical judgment and regulatory knowledge. **Key Responsibilities** +… more
- Molina Healthcare (NE)
- …will be supporting our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The candidate must have ... Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state...or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must… more
- Corewell Health (Grand Rapids, MI)
- …experience clinical nursing and or case management/managed care or related field Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required ... all components of insurance prior authorizations, initial reviews, continuous stay reviews and appeals . Nurse Care Manager - Plans and prioritizes care for… more
- MD Anderson Cancer Center (Houston, TX)
- …audits of patient accounts to complete Defense Audits. *Ideal Candidate:* A * Registered Nurse ( RN )* with experience in * appeals * and * nurse defense ... years of the five clinical nursing experience. * Preferred: Nurse Defense Audit experience, experience with insurance appeals...remote. Prefer Houston/local area. *LICENSES AND CERTIFICATIONS* * Required: RN - Registered Nurse -… more
- State of Colorado (Denver, CO)
- …(HP III RN ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5155064) Apply Registered Nurse Health Compliance Inspector Home Care - ... health, safety, and well-being of Colorado communities. As a Registered Nurse ( RN ) Health Professional...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel… more
- State of Colorado (Grand Junction, CO)
- Registered Nurse I, RN I...of the department's action. For more information about the appeals process, the official appeal form, and how to deliver ... - Grand Mesa Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5157862) Apply Registered Nurse I, RN I - Grand… more
- LA Care Health Plan (Los Angeles, CA)
- …the ability to manage multiple training initiatives simultaneously. Licenses/Certifications Required Licensed Registered Nurse ( RN ) - Active, current and ... Lead Customer Solution Center Appeals and Grievances RN Job Category:...as assigned. Education Required Associate's Degree in Nursing for Registered Nurses Education Preferred Bachelor's Degree in Nursing for… more
- Adecco US, Inc. (Minneapolis, MN)
- Adecco Healthcare & Life Sciences is hiring remote RN Appeals Reviewers! This role is remote / work from home. Please read below and apply with an updated resume ... **Pay:** $40.50 to $42.50 an hour **Responsibilities of the RN Appeals Reviewer:** . Responsible for conducting...and Holiday pay upon meeting eligibility criteria. **IMPORTANT:** This ** Registered Nurse ** role is being recruited for… more
- University of Washington (Seattle, WA)
- …Medical Center-Montlake - Endocrine Care Center** has an outstanding opportunity for a ** Registered Nurse .** **WORK SCHEDULE** + 40 hours per week + ... - this position will be the only full time RN on the team **PRIMARY JOB RESPONSIBILITIES** + Provide...nursing experience + Active licensure to practice as a Registered Nurse in Washington State + Active… more
- St. Luke's University Health Network (Allentown, PA)
- …Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. . ... of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding… more
