Denials & Appeals RN — Clinical Appeals Specialist
Nebraska Methodist Health System
A healthcare provider seeks a skilled individual to manage clinically-based appeals, ensuring effective communication with payers. This role requires a Bachelor’s in Nursing and a valid RN license, along with five years of clinical experience. Responsibilities include auditing high-risk areas, managing appeals processes, and providing education to medical staff. The ideal candidate will possess excellent communication skills and a strong understanding of healthcare delivery systems. The position offers a supportive work environment with competitive pay and outstanding benefits. #J-18808-Ljbffr Nebraska Methodist Health System
- ...overall management and communication of clinically-based appeals between Methodist Health System and... ...and evaluate findings and rationale on denial and appeal tracking software when received... ...Certifications ~ Registered Nurse (RN) with current state license is required...SuggestedWork at officeLocal area
- A healthcare provider in Omaha seeks a skilled Registered Nurse to manage clinically-based appeals between the health system and payers. The role involves communication, thorough reviews of cases, and collaboration with medical staff to ensure prompt and efficient resolution...Suggested
$29.05 - $67.97 per hour
...Job Summary Utilizing clinical knowledge and experience... ...concurrent review of appeals for denied prior authorizations... ...medical directors on denial decisions. • Supplies... ...• Registered Nurse (RN). License must be... ...Certified Medical Audit Specialist (CMAS), Certified Case...SuggestedHourly payWork experience placementWork at office$29.05 - $67.97 per hour
Job Summary Utilizing clinical knowledge and experience... ...and concurrent review of appeals for denied prior... ...with medical directors on denial decisions. Supplies criteria... .... Registered Nurse (RN). License must be... ...Certified Medical Audit Specialist (CMAS), Certified Case...SuggestedHourly payWork experience placementWork at office$29.05 - $67.97 per hour
...and the appropriate level of care. Responsibilities include reviewing documentation, facilitating appeals, and validating claims. The ideal candidate will have an active RN license, at least 2 years of nursing experience, and proficiency in ICD-10 and CPT coding. This...SuggestedHourly pay- Option Care Home Health LLC is seeking a Clinical Transition Specialist to enhance patient transitions to home health care. This key role involves building... ...between various healthcare providers. A licensed RN or Pharmacist with at least 2 years of healthcare experience...
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$86.22k - $125.41k
...schooling, and year-round community-based activities are among the many appeals to this position. Qualifications: Graduate from an... .../ College, University. Current State Registered Nurse (RN) license or Compact Registered Nursing License Current BLS, ACLS...Full timeTemporary work$78k - $156k
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$86.7k - $173.3k
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$107.2k - $147.4k
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$86.7k - $173.3k
...inquiries from physicians, health care professionals, patients, and field sales staff related to EP products. Serve as the senior clinical interface between the medical community and the business; build and sustain credible business relationships and share product expertise...- Make a meaningful difference to patients around the world. As a part of the Field Clinical Specialist team, you will be a critical part of delivering our patient focused innovations, partnering with clinical professionals, and training them on using our groundbreaking products...Work experience placement
$107.2k - $147.4k
Intracardiac Echocardiography (ICE) Clinical Specialist Responsibilities Provide clinical product and technical assistance and training to physicians and staff on the effective use of AcuNav Volume (ICE) Catheter in the cardiac interventional or electrophysiology laboratories...Temporary workWork experience placementLocal areaNight shift$75k - $90k
Owens & Minor is a global healthcare solutions company providing essential products, services and technology solutions that support care delivery in leading hospitals, health systems and research centers around the world. For over 140 years, Owens & Minor has delivered ...Full timeContract workTemporary workLocal areaWorldwide- Siemens Healthineers is seeking an Intracardiac Echocardiography (ICE) Clinical Specialist in Omaha, Nebraska. The role involves providing clinical product and technical support, training physicians, and identifying sales opportunities. Candidates must have a Bachelor's...
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$60.2k - $107.4k
...Connecting. Growing together. The Senior Clinical Administrative Nurse is an outreach-... ...determinations, including support through the appeals process Educate members on the use of... ...: ~ Current and unrestricted RN compact license ~ Ability to obtain additional...Minimum wageFull timeWork experience placementLocal areaRemote workWeekday work$43.69 - $67.72 per hour
...determined by a candidate's expertise and years of experience, among other factors. Position Highlights: * Position: RN Clinical Nurse Practice Specialist supporting OB services (Labor & Delivery, Postpartum, Antepartum) * Location: Elmhurst Hospital, Elmhurst, IL *...Hourly payFull timeMonday to FridayShift work$40 - $43 per hour
...OverviewOur RN Clinical Educators experience a unique opportunity to employ their clinical nursing expertise in a new way outside patient care, while continuing to collaborate with healthcare professionals and advocate for the well-being of patients through medical device...Hourly payDaily paidExtra incomeFull timePart timeImmediate startWorldwideFlexible hours- ...Registered Nurse - Cardiac Cath Lab RN Are you seeking an environment that fosters both your personal and professional development... ..., and year-round community-based activities are among the many appeals to this position. Requirement: Registered Nurse current...
$75 per hour
...Travel Clinic / Registered Nurse Up to $75 An Hour 13-week contract* We are... ...community-based activities are among the many appeals to this position. Qualifications:... ...nursing experience as a Registered Nurse (RN) ~ Associate degree in nursing (ADN) from...Contract work- Summary The Clinical Nurse Educator is responsible for providing competent, evidence-based education to staff. Provides educational instruction and training for nursing staff in clinical and outpatient units. The Clinical Nurse Educator understands instructional design...Permanent employmentFull timeTemporary workInterim roleRemote workRelocation package
$2,083 per week
...Travel Orthopedic Registered Nurse (RN) - $2,083 per week in taxable pay and non-taxable stipend amount. Pay rates... ..., adapt to innovative practices, and build valuable clinical expertise while enjoying an appealing lifestyle in a vibrant Midwestern community. As a Travel...Weekly payDaily paidPermanent employmentLocumLocal areaShift workWeekend work
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