Search Results: 1,215,520 vacancies
...clinical oversight of assigned grievance and
appeal cases. Utilizes clinical judgement in the... ...high quality healthcare services. Working closely with PHC Medical
Directors, oversees... ...a backup to absent Grievance & Appeals Nurse Specialists
Attends meetings as needed...
Suggested
Permanent employment
Contract work
Immediate start
Remote job
...dynamic and talented Clinical Documentation Improvement (CDI) Nurse.
The Clinical Documentation Improvement (CDI) Nurse provides... ...Forgiveness Program if offered.
~ Challenging and rewarding work environment
~ Competitive Compensation & Generous Paid Time Off...
Suggested
Local area
...are seeking a (RN) Registered Nurse who must be licensed in the state... ...looking for a Clinical Nurse Appeals RN to support our SC Health... ...and/or utilization management working on the manage care side.Excellent... ...This is a Remote position, home office with internet connectivity...
Suggested
Remote job
Full time
Work experience placement
Home office
Weekend work
Monday to Friday
Overview:
Appeals associate will be responsible for coordinating and monitoring the administrative... ..., but are not limited to, setting up work assignment schedules, investigating,... ...- Admission notes, Progress notes, Nurse progress notes, Medical order, Lab results...
Suggested
...integrated healthcare solutions and disaster response.
Access2Care offers a competitive benefits package, which includes:
Work from home position, equipment will be provided, and training completed remotely
This position starts at $14.00/hour, with performance wage...
Work from home
Hourly pay
Permanent employment
Remote job
Relocation
Flexible hours
...Job Description
Division/Unit: Appeals Division
Position Title: Appeals Paralegal
Civil Service Title: Community Associate... ...attorneys and various courts regarding status of appeals.
Work closely with the Records Department to locate sensitive case materials...
Suggested
Summer work
Shift work
Monday to Friday
...system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician... ...primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize...
Suggested
...Appeal Experience REQUIRED
RESPONSIBLE FOR:
Detailed review, analysis and extraction... ...Graduate from an accredited School of Nursing
MINIMUM EXPERIENCE REQUIRED:
Clinical... ...utilization review using InterQual or Milliman. Working knowledge of medical coding, case...
Suggested
...arrangements for your clients.
Join Us Today!
If you're ready to embark on a fulfilling career where every day feels like an adventure, don't miss this chance to become a part of our team. This is a 1099 remote working position. Let's create incredible memories together!...
Work from home
Permanent employment
Remote job
...Description
Job Title: Appeals & Grievances Coordinator
Department: Appeals and Grievances
Supervisor: Manager, Appeals & Grievances... ...Skills
Knowledge of healthcare delivery.
Ability to work in a fast-paced environment with changing priorities....
Suggested
Remote job
Must be authorized to work in the US, no work visas offered at this time
Organization Description
We are currently seeking highly motivated... ...and part-time career opportunities with the option to work from home or in-person. Looking for those starting at entry level to highly...
Work from home
Permanent employment
Full time
Part time
Work visa
...Appeals and Compliance Specialist
Starting Salary: $84,495 - $101,395
This position reports to the Executive Director and is responsible... ....
Requirements
Bachelor's degree in social work, psychology, public or business administration, or related field...
Suggested
Holiday work
Contract work
Work experience placement
Local area
Flexible hours
...Summary of Position
We are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal... ...regulatory requirements and NCQA standards. This individual will work as an effective interface between internal and external...
Suggested
Work experience placement
Overview:
Under the direction of the Supervisor, the Medicare Appeals Specialist receives, investigates, and responds to formal... ...experience assessing payer coverage criteria
Previous experience working with Medicare, Medicaid, or private payers
Clinical,...
Suggested
Local area
...Financial Officer ensures accuracy of denial reporting to include investigation and root cause analysis of denials, management of the appeals process with payers, and subsequent reporting to appropriate persons within the facility and corporate office. Responsible for...
Suggested
Hourly pay
Shift work
Day shift
...Heard and Smith, LLP
Case Status and Appeals Representative
Heard and Smith, LLP was... ...with excellent customer relations, strong work ethic, and a true desire to help others. Being... ...in the office or working remotely from home
Knowledge of computer technology and the...
Work from home
Hourly pay
Holiday work
Immediate start
Remote job
Home office
...Job Description
Role : Appeals Project Specialist
Estimated Duration : 6+ months
Location: Phoenix, AZ (hybrid)
Position Description... ...Office, Client, and the courts. In addition, this position will work with the eligibility team on process improvements and the...
Remote job
...than 13,000 team members physicians, surgeons, nurses, pharmacists and other highly-skilled health... ...position is responsible for managing the appeal of unpaid claims in the Central Business Office. This position will also work closely with insurance carriers in resolving...
...Job Description:
The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies.
The Coordinator is expected to analyze the customer...
oPerforms daily quality assessments for all function areas of the Appeals and Grievances Department to assure the integrity of processes -... ...skills, strong interpersonal skills, and the ability to work effectively with all associate and management levelsoExcellent oral...
