- Saint Francis Health System (Tulsa, OK)
- …Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or Professional Counselor (LPC) ... delegation standards established by the managed care contracts. Investigates and prepares appeals for insurance companies, when denial of reimbursement is related to… more
- Veterans Affairs, Veterans Health Administration (Eagan, MN)
- …right time. Responsibilities **These positions may be filled by a Registered Nurse , Physical Therapist, or Occupational Therapist. These positions are advertised on ... eligibility, service delivery, location, level of care discharge planning, appeals process, and performance improvement. Conducts comprehensive clinical reviews of… more
- Veterans Affairs, Veterans Health Administration (Eagan, MN)
- …right time. Responsibilities **These positions may be filled by a Registered Nurse , Physical Therapist, or Occupational Therapist. These positions are advertised on ... eligibility, service delivery, location, level of care discharge planning, appeals process, and performance improvement. Conducts comprehensive clinical reviews of… more
- Montrose Memorial Hospital (Montrose, CO)
- …utilization management or denial management. Experience with business letter writing, eg, appeals , preferred. + Must at least be Licensed as a Registered ... Nurse in the State of Colorado or possess a Compact State License. + Must have Exceptional oral/written communication skills; the ability to independently research… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and provide ongoing ... including but not limited to development of standards, insurance company appeals and teleconferences and provision of prior authorization information; +… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and provide ongoing ... including but not limited to development of standards, insurance company appeals and teleconferences and provision of prior authorization information; e.… more
- City and County of San Francisco (San Francisco, CA)
- …required. ** Under the direction of a licensed physician, registered nurse , or clinical supervisor, the Psychiatric Technician performs professional therapeutic ... The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S… more
- Johns Hopkins University (Baltimore, MD)
- …has an excellent reputation for training of future nursing leaders and nurse educators, and, among other things, specializes in community public health nursing, ... Giving to coordinate and execute SON's annual giving mailings, including drafting appeals and managing specialty campaigns like the white coat, vital signs, Giving… more
- BrightSpring Health Services (Lexington, KY)
- …issues. Refer all unresolved issues to the next level including grievance and appeals . + Actively market plan to new senior care partners within plan Service ... needs and provide preventive, coordinated, and quality healthcare. With a dedicated nurse practitioner leading a personalized care plan, we strive to improve the… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …+ Work with insurance carriers and MSKCC billing departments to initiate appeals and acquire authorizations for treatment **Key Qualifications:** + Current NYS ... Registered Nurse License/Registration and BSN preferred + At least 2-3 years of clinical hospital nursing experience + Managed care/UR/CM experience strongly… more