• Appeals Licensed Practical

    Evolent (Trenton, NJ)
    …for the mission. Stay for the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a meaningful impact ... as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to… more
    Evolent (05/16/25)
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  • Clinical Review Clinician - Appeals

    Centene Corporation (New York, NY)
    …preferred. RN or LPN Preferred NY State License Required **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required or + LVN ... Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to...- Licensed Vocational Nurse required or + RN...- Licensed Vocational Nurse required or + RN - Registered … more
    Centene Corporation (05/08/25)
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  • Case Manager

    Memorial Sloan-Kettering Cancer Center (New York, NY)
    …Patients? The MSK Case Management Department is made up of Registered Nurses (RNs), Licensed Practical Nurses (LPNs) and support staff. In this role, you will ... + Work with insurance carriers and MSKCC billing departments to initiate appeals and acquire authorizations for treatment Key Qualifications: + Current NYS… more
    Memorial Sloan-Kettering Cancer Center (05/19/25)
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