- Molina Healthcare (Tacoma, WA)
- … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making...these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Evolent (Olympia, WA)
- …to Standard processing, documenting accordingly. + Works closely with the appeals -dedicated Clinical Reviewers to ensure timely adjudication of processed ... for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
- University of Washington (Seattle, WA)
- …+ Minimum of 6 years of experience in an acute inpatient hospital setting as a registered nurse , with in-depth knowledge of medical and surgical care. ER or ICU ... - MONTLAKE** has an outstanding opportunity for a **Second Level Review Clinical Documentation Integrity Specialist ( RN ).** **WORK SCHEDULE** Full-time day… more
- Centene Corporation (Tacoma, WA)
- …Administration required. Experience in Behavioral Healthcare field required. Registered Nurse ( RN ), Licensed Clinical Social Worker (LCSW), Licensed ... or Healthcare Administration required **Experience in Behavioral Healthcare field preferred:** Registered Nurse ( RN ) certification, Licensed Mental Health… more