- Molina Healthcare (San Antonio, TX)
- JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals ... a plus. Work hours: Monday - Friday 8:00am- 5:00pm Remote position **Essential Job Duties** * Performs clinical...reviews of previously denied cases in which a formal appeals request has been made or upon request by… more
- Cognizant (Austin, TX)
- …cycle or clinic operations + Experience in utilization management to include Clinical Appeals and Grievances, precertification, initial and concurrent reviews + ... Remote **About the role** As a Registered Nurse you will make an impact by performing advanced...stand out** + Epic experience + Experience in drafting appeals disputing inpatient clinical validations audits is… more
- HCA Healthcare (San Antonio, TX)
- …**Introduction** Do you want to join an organization that invests in you as a Clinical Nurse Reviewer? At Parallon, you come first. HCA Healthcare has committed ... make a difference. We are looking for a dedicated Clinical Nurse Reviewer like you to be...+ A minimum of one-year experience with denials and appeals in a clinical setting preferred +… more
- Texas Health Resources (Arlington, TX)
- …are Better + Together_ Work location: Texas Health Resources - Behavioral Health, Remote Work hours: Full-time (40hours) Monday - Friday 9:00AM - 5:00PM Education * ... Master's Degree Counseling or Social Work Required Experience * 3 Years Clinical psychiatric or chemical dependency experience Required and * 6 Months in case… more
- Molina Healthcare (TX)
- For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of ... (Team will work on set schedule) Looking for a RN with experience with appeals , claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for … more