- Bluestone Child & Adolescent Psychiatric Hospital (University Heights, OH)
- …guidelines. Complete all data tracking as needed. Perform all duties of the Psychiatric Nurse ( RN /LPN) role as needed or when assigned by management. OTHER ... Psychiatric Intake Nurse - FT Nights, 5-8 hour shifts- Sunday through...Master's degree in related field preferred. Licensure: Valid Ohio RN /LPN license required. Skills: Sensitivity in relating to persons… more
- Lee Health (Fort Myers, FL)
- …Certification in Nursing Administration or appropriate specialty preferred. License Requirements: Registered Nurse currently licensed in the State of Florida. ... beauty, a warm climate, and a relaxed lifestyle that appeals to many people. Florida also benefits from no...in a laid-back, friendly atmosphere that fosters a great quality of life. Why is Lee Health for YOU?… 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
- 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 ... The role also demands a commitment to diversity, the ability to manage student appeals and grievances, and a proactive approach to maintaining the quality of… 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, ... well as actively participating in nursing faculty meetings and ensuring the quality of instruction through program review and strategic planning. Applicants must… more
- MVP Health Care (Tarrytown, NY)
- …New York Qualifications you'll bring: Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24 months ... achieve optimum health and/or improved functional capability through the coordination of quality cost effective care. The Case Manager will also monitor and review… 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
- Elevance Health (Columbus, OH)
- ** Nurse Appeals RN ** **Location** :...skills and serves as a subject matter expert for appeals /grievances/ quality of care issues and is a resource ... 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...skills and serves as a subject matter expert for appeals /grievances/ quality of care issues and is a ... 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
- 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..., you will use your clinical expertise to ensure quality of care, protect patient rights, and promote excellence… 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:...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… 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
- 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
- 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. . ... serve, regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records,… more
- Elevance Health (Cleveland, OH)
- ** Nurse Appeals -Licensed Nurse **...entities, and serves as a subject matter expert for appeals , grievances, and quality of care issues. ... 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
- 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
- Community Health Systems (Franklin, TN)
- …of insurance claims processing and denial management workflows. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... and supports initiatives that improve denial prevention and recovery processes. As an Appeals Specialist II at Community Health Systems (CHS) - SSC Nashville, you'll… more
- CareFirst (Baltimore, MD)
- …strategies to improve individual and team-based performance as needed. **Licenses/Certifications** : + RN - Registered Nurse - State Licensure And/or Compact ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process for members… 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...examination will evaluate the relevance, level, recency, progression and quality of candidate's education, training and experience. The candidate's… more
- Sacramento County (Sacramento, CA)
- Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply Supervising Registered Nurse ... 5:00 pm on: 12/1/25, 2/2/26, 4/6/26, 6/1/26, 8/3/26, 10/5/26, 12/7/26 Supervising Registered Nurse - Detention/Correctional Facility is the first level… more
Related Job Searches:
Appeals,
Appeals Nurse,
Appeals RN,
Nurse,
Nurse Appeals RN,
Quality,
Quality RN,
RN