Average salary: $68,000 /yearly
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...Maryland and District of Columbia member and provider medical appeals, Maryland complaints and grievances. Responsible for member advocate... ..., and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates...
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1 day per week
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...Claims Review, Medical Underwriting, Medical Policy, Clinical Appeals and Analysis programs and Quality of Care Complaint Unit. May lead... ...**QUALIFICATIONS:**
**Education Level:** Bachelor's degree in nursing OR in lieu of a Bachelor's degree, an additional 4 years of...
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Local area
Immediate start
...Processes denied claims on the institutional side
Analyze payor denials and determine next steps
Account Resolution
Appeals
Collections
Remittance Verification
REQUIREMENTS:
~ Formal working knowledge; equivalent to an Associate's degree (2 years...
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...Chief Medical Officer, the Director of Complaints, Grievances, and Appeals (CG&A) is responsible for directing CG&A operations, providing... ...Maryland RN licensure required, if hired with a degree in nursing.
~ Work requires knowledge of the health field and managed care...
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Day shift
Duties
WHAT IS THE APPEALS DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following specialty areas:
Independent Office of Appeals, Collection Appeals
The following are the duties of this position at the full...
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Temporary work
Part time
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Relocation
Monday to Friday
...19\r
LOCATION OF POSITION
Baltimore,\rMaryland\r
POSITION DUTIES
This recruitment is for one current vacancy for the Hearings and Appeals Division located in Baltimore. The Senior Tax Attorney I will conduct administrative hearings with taxpayers and their representatives...
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...Duties
WHAT IS THE INDEPENDENT OFFICE OF APPEALS DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following specialty areas: Independent Office of Appeals, Collection Appeals
The following are the duties of this...
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Temporary work
Part time
Work experience placement
Local area
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Night shift
Monday to Friday
...Ahead of the Curve: MD Property Owners – Tax Appeal Deadlines Approaching
November 30, 2021
Plan Now to Take Necessary Steps to Seek Reductions of Real Estate Taxes in the State of Maryland.
The 2022 reassessments of properties for real estate tax purposes will...
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Relief
...Duties
WHAT IS THE APPEALS (AP)DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following specialty areas:
Office of Appeals Case and Operations Support Policy Planning Quality & Analysis
The following are the...
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Full time
Temporary work
Work experience placement
Remote job
Relocation
Night shift
Day shift
Monday to Friday
...Duties
WHAT IS THE APPEALS DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following specialty areas:
SPECIALIZED EXAM PRGRMS & REFERRALS (SEP&R), TECHNICAL GUIDANCE (TG)
The following are the...
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Part time
Work experience placement
Internship
Local area
Remote job
Relocation
Day shift
Monday to Friday
...Duties
WHAT ARE THE APPEALS, CRIMINAL INVESTIGATION, AND TRANSFORMATION & STRATEGY OFFICE DIVISIONS?
A description of the business units can be found at:
Your application will be placed into a pool of individuals with disabilities for evaluation and referral to...
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...UTILIZATION REVIEW NURSE (RN)
~Randallstown, MD
~NORTHWEST HOSPITAL
~NW CARE MANAGEMENT
~Full-time - Day shift - 8:00am... ...experience in Utilization Review, and must have experience with denials/appeals
Additional Information
As one of the largest health...
Suggested
Full time
Day shift
Job Description:
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or...
Suggested
Permanent employment
Immediate start
NURSING GRADUATE
~Baltimore, MD
~GRACE MEDICAL CENTER
~EMERGENCY ROOM
~Full-time w/Weekend Commitment - Day and Night shifts - Hours Vary
~Staff Nurse
~73848
~Posted: March 10, 2024
Apply Now
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Full time
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...More personalized patient care
More professional impact
BE THE CONNECTION.
Your role as nurse manager will empower you to be the connection between more personal, exceptional care and the positive effect it has on patients. Take this chance to have an...
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Full time
Part time
Flexible hours
...week.
Competitive Pay Rates Starting at $32 -$44 per hour, plus shift differential) based on experience.
Registered Nurse Career Opportunity
Experience nursing as it was meant to be.
We're looking for Registered Nurses who are inspired by the prospect...
Hourly pay
Full time
Part time
Flexible hours
Shift work
Night shift
...Extra attention to detail
Exceptional outcomes
BE THE CONNECTION.
Your role as a rehab nursing technician I lets you be the connection between dedication to detail and patient outcomes that exceed expectations. Use your passion for rehabilitation to ensure...
Full time
Part time
Flexible hours
Night shift
Day shift
...for a LPN to join our team.
As an LPN, you will provide nursing care in accordance with the client's plan of care to include comprehensive... ...and weekends.
If having a direct impact on the lives of others is appealing to you, apply today and join our team!
EOE D/V...
...community to live, work, and play!
Hiring a Community Health Nurse. Must be a Registered Nurse (RN).
Located in the heart... ...with Section 16-200 of the Personnel Law, you have the right to appeal a rejection rating within five (5) working days of receiving a rejection...
Holiday work
Full time
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Part time
Work experience placement
Local area
Flexible hours
$44 per hour
Position: Registered Nurse (RN)
Schedule: 32 hours per week; Monday - Thursday week one, Tuesday - Friday week two. The schedule will then alternate. We also offer flexible shifts for nurses interested in working per diem.
Pay: Up to $44 / hr
Location: Essex, CT...
Daily paid
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Part time
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Shift work
