• Nurse Appeals RN

    Elevance Health (Nashville, TN)
    ** Nurse Appeals RN - Quality of Care** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Hours:** Monday-Friday, 8:00AM -5:00 PM Eastern Standard Time The ** Nurse Appeals ** is responsible for investigating and...and summarizes medical information for medical director. + Prepares nurse summaries for Quality of Care cases… more
    Elevance Health (11/12/25)
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  • Utilization Management Appeals Nurse

    Humana (Nashville, TN)
    …MRM, SRO **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the (appropriate state) with no disciplinary ... action. Humana is seeking a Part C Grievance & Appeals (G&A) Nurse who will assist in...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
    Humana (11/12/25)
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