- Cognizant (Austin, TX)
- …role expectations. **What you need to have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and utilization ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...Maintain working knowledge of applicable health insurers' internal claims, appeals , and retro-authorization as well as timely filing deadlines… more
- HCA Healthcare (Plano, TX)
- …of each individual is recognized. Submit your application for the opportunity below: Registered Nurse Case Manager IP RehabMedical City Plano **Benefits** Medical ... benefits may vary by location._** We are seeking a(an) Registered Nurse Case Manager IP Rehab for...achieving department goals . Track and trend denial and appeals to identify issues and develop action plans for… more
- Evolent (Austin, TX)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of ... a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
- HCA Healthcare (San Antonio, TX)
- … appeals , denials, managed care contracting, experienced preferred. + Currently licensed as a registered nurse ( RN ) in the state(s) of practice and/or has ... to join an organization that invests in you as an Inpatient Authorization Review Services Registered Nurse or Licensed Practical Nurse -NICU (Code Pink)? At… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Denial Resource Center Registered Nurse ( RN ) is responsible for Baylor Scott & White Health denial management functions. The Denial ... - Associate's - EXPERIENCE - 2 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse ( RN ) Hybrid expectation- On-site once a year… more
- Molina Healthcare (San Antonio, TX)
- …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....member care. For this position we are seeking an RN with previous Inpatient Hospital, Skilled Nursing Facility experience,… more
- Select Medical (Dallas, TX)
- …and valid state licensure or eligibility for state licensure as a Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Language Pathologist ... & White Health Dallas, TX **Rehab Admissions Liaison / Clinical Liaison ( RN strongly preferred)** **Full-Time, Monday through Friday 8am - 5pm** **Competitive base… more
- Molina Healthcare (San Antonio, TX)
- …hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals , claims review, and medical coding. **Job Summary** Utilizing ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Houston Methodist (Sugar Land, TX)
- …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... utilization review activities, and monitoring the clinical denial management and appeals process, as applicable, in collaboration with clinical team partners. This… more
- Houston Methodist (Houston, TX)
- …leading multi-site or enterprise-level programs preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... analytics and real-time dashboards to proactively manage authorization workflows, appeals , and peer reviews. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Identifies,… more