- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …position:*The Contract Variance Analyst Senior is responsible for leading the end-to-end appeals process related to contract variances and fatal denials. This role ... Variance Appeal process, overseeing intake, documentation, and strategic tracking of appeals submitted to third-party payers * Manages and executes high-impact … more
- State of Colorado (Denver, CO)
- …duties. This position works under the supervision and direction of a registered nurse and assists with psychiatric nursing care of mentally ill patients; observes, ... Care: Under the direction and supervision of a registered nurse , engage with patients to establish and maintain a...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Texas Health Resources (Arlington, TX)
- …treatment team. Maintain ongoing contact with the attending physician, program manager, nurse manager, and various members of the treatment team. Provides timely ... and provides suggestions for improvement Utilizes resources cost effectively Denials and Appeals Reviews denial work queues and denial documentation activities on a… more
- UNC Health Care (Hendersonville, NC)
- …including requests, follow-ups, tracking of approvals and denials, and completing appeals . Oversees/maintains the denial and RAC request/response data bases; ensures ... of records and outcomes. Works with EHR to file appeals and coordinate the follow up with EHR. Coordinates...+ Must be licensed to practice as a Registered Nurse in the state of North Carolina or one… more
- State of Colorado (Denver, CO)
- …and Emergency Medical Services Division. and Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the ... Enhanced Nurse Licensure Compact (eNLC). OR Education & Experience: A...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel… more
- State of Colorado (Jefferson County, CO)
- …+ After the employee completes this coursework and passes a competency check with a nurse , the employee will be promoted to a Health Care Service Trainee II and paid ... if your application is eliminated. You will find the appeals process, the official appeal form, and how to...it's the first time it has happened. 18 The nurse asks you to perform a task that is… more
- State of Colorado (Aurora, CO)
- …care needs + Updating noted resident changes, reporting information to the charge nurse , and recommending routines and schedules to IDT Team + Performing basic ... the position Substitutions: + Current, valid certification as a Nurse Aide (CNA) from the Colorado Department of Regulatory...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Elevance Health (Miami, FL)
- …will make an impact:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care. + Perform ... physician-level case review, following initial nurse review, of chemotherapy regimens. + Determine medical necessity...a subject matter expert. + Perform first level provider appeals as designated by the client for adverse determinations.… more
- State of Colorado (Garfield County, CO)
- …of a CNA. Education and Work Experience Substitutions: + A valid nurse aide certification (CNA) from the Colorado Department of Regulatory Agencies for ... of Regulatory Agencies or any state participating in the Nurse Licensure Compact for the nurse aide...if your application is eliminated. You will find the appeals process, the official appeal form, and how to… more
- The County of Los Angeles (Los Angeles, CA)
- …be accepted. DEFINITION: Plans, organizes, assigns, directs, and evaluates, through subordinate nurse evaluator supervisors, the work of a major section of the ... direction, through Supervising Health Facilities Evaluator, Nursing positions, to nurse evaluators responsible for surveying and investigating health care facilities… more