- Molina Healthcare (Savannah, GA)
- … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making...these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Evolent (Atlanta, GA)
- …to Standard processing, documenting accordingly. + Works closely with the appeals -dedicated Clinical Reviewers to ensure timely adjudication of processed ... culture. **What You'll Be Doing:** Job Description The Specialty Appeals Team offers candidates the opportunity to make a...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
- Prime Therapeutics (Atlanta, GA)
- …visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5 years of post-degree clinical experience. + Experience in ... these cases in web-based application and spreadsheets. + Supports clinical services such as the appeals program....+ Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State… more
- Morehouse School Of Medicine (Atlanta, GA)
- …issues . Current knowledge of institutional and programmatic accreditation requirements for nurse -midwifery, nurse practitioner, and RN educational programs ... directly to the Senior Associate Dean and Chief of Clinical & Academic Education, the Chair will collaborate closely...accredited institution of higher education . Active, unencumbered Georgia RN license and midwifery or APRN license . Current… more