Clinical appeals nurse jobs

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Clinical Appeals Reviewer

 ...Discover more about us at . Responsibilitiies: The Clinical Appeals Reviewer reports to an Appeals and Grievances Supervisor and...  ...’s Degree. ~ Bachelor’s Degree preferred. ~ Registered Nurse with current unrestricted licensure. ~ Registered Nurse... 

Amerihealth

Raleigh, NC
6 days ago

Clinical Appeals Registered Nurse - RN

new
 ...Are you an experienced Registered Nurse with clinical appeals experience looking for a new Remote opportunity with a prestigious Healthcare Company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of... 

Healthcare Support

Meridian, ID
16 hours ago

Nurse Supervisor Clinical Appeals

new
 ...A longstanding hospital in the San Francisco Bay Area is seeking a Nurse Supervisor for Clinical Appeals. The Clinical Appeals Nurse Supervisor will work with a well-tenured of utilization review and case management healthcare professionals that pride themselves in delivering... 

Clinical Management Consultants

San Francisco, CA
16 hours ago

RN, Registered Nurse- Clinical Appeals

 ...for the management and communication of denials/appeals received from third party payers, managed care companies...  ...will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse will review each case identified/referred for appeal... 

CHRISTUS Health

Longview, TX
6 days ago

Clinical Appeals Nurse - Revenue Cycle

 ...position at Grady! JOB QUALIFICATIONS- Three-to-five years audit/appeals or utilization review experience. - Functional knowledge of...  ...and internal department leadership is required.- Bachelors of Nursing is required - Equivalent education, training or job experience... 

Grady Health System

Atlanta, GA
6 days ago

Nurse Appeals Sr

 ...processing the most complex grievances and appeals requests from members and providers....  ...NC, SC, VA, or TN required.* AS/BS in Nursing preferred.* Appeals experience highly desired...  ....* Experience researching Medicaid clinical guidelines preferred.* Good computer and... 

Anthem, Inc.

Camden, TN
5 days ago

External Appeals Nurse UR Nurse

 ...Job Description Hi, we're Oscar. We're hiring an Appeals Utilization Review Nurse to join our Clinical Review Team team in our Los Angeles office.  Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York... 

Oscar Health

Los Angeles, CA
8 days ago

We Train New Truck Drivers - Urgently Hiring - Apply in Seconds!

Job Description Immediate Opportunities! Refrigerated Trucking is one of the safest bets in the trucking industry as it relates to jobs. The country will always need food, medicine, and supplies. There will always be a need for truck drivers. At C.R. England, we hire...

C.R. England

Calhan, CO
28 days ago

RN, Registered Nurse- Clinical Appeals

 ...for the management and communication of denials/appeals received from third party payers, managed care companies...  ...will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse will review each case identified/referred for appeal... 

Christus Health

Longview, TX
14 days ago

Clinical Appeals Nurse (RN)

 ...MUST BE LOCATED IN THE STATE OF ARIZONA ONLY !Job SummaryClinical Appeals is responsible for making appropriate and correct clinical decisions...  ....Knowledge/Skills/Abilities* The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases... 

Molina Healthcare

Phoenix, AZ
12 days ago

Clinical Appeals Reviewer - Work from Home

 ...program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM The Clinical Appeals Reviewer is responsible for reviewing, researching, investigating, and triaging all types of appeals and grievances.... 

UnitedHealth Group

Middleton, ID
2 days ago

Clinical Appeals Nurse

 ...commercial payers. Completes comprehensive reviews of clinical documentation to determine if an appeal is warranted. Writes compelling clinically relevant...  ...Minimum 5 years of broad clinical experience Graduate nursing program (Diploma/Associates) BSN preferred or... 

Waterbury Hospital

Waterbury, CT
2 days ago

Clinical Appeals Nurse

 ...will provide you the tools and resources you need to succeed in our organization. We are currently looking for an ambitious Clinical Appeals Nurse to help us reach our goals. Unlock your potential here! As a Clinical Appeals Nurse, you will be responsible for handling... 

HCA, Hospital Corporation of America

Irving, TX
2 days ago

RN, Registered Nurse- Clinical Appeals

 ...for the management and communication of denials/appeals received from third party payers, managed care companies...  ...will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse will review each case identified/referred for appeal... 

Christus Health

Longview, TX
1 day ago

Clinical Nursing Instructor

 ...and comprehension that will change a student's life forever. The Nursing Instructor engages Carrington College students in a world-class...  ...time didactic roles. We also have Visiting Instructors and Clinical roles. Highly organized and detail oriented. Interacts effectively... 

Carrington College

Phoenix, AZ
10 days ago

Clinical Appeals Nurse

 ...will provide you the tools and resources you need to succeed in our organization. We are currently looking for an ambitious Clinical Appeals Nurse to help us reach our goals. Unlock your potential here! As a Clinical Appeals Nurse, you will be responsible for... 

Parallon

Irving, TX
6 days ago

Clinical Nurse Educator/ Registered Nurse/ OR RN- Novasyte

 ...J ob Description: Qualified Registered Nurse will be tasked with educating end users on new medical devices used in healthcare...  ...education only; no sales responsibilities, and no patient care. T his Clinical Nurse Educator role allows you to utilize your Operating Room... 

IQVIA

Denver, CO
4 days ago

Clinical Manager, Appeals and Grievances (RN)

**Position Purpose:**Supervise nurses in a highly regulated department responsible for performing...  ...and service. Supervise the day to day clinical operations and functions within the...  ...metrics are met.+ Ensure that the Clinical Appeals and Grievances unit processes all appeals... 

Centene Corporation

Charlotte, NC
5 days ago

Physician Assistant, Clinical Appeals & Grievances - Telecommute

new
 ...some tough challenges. Primary Responsibilities:  In collaboration with the Appeals and Grievances Medical Director, the Physician Assistant is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated... 

UnitedHealth Group

Atlanta, GA
16 hours ago