- State of Colorado (Garfield County, CO)
- …Conditions of Employment & Appeal Rights Minimum Qualifications: Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state ... facilitate shift reports, act as liaison between shift, head nurse and other clinical management staff, communicate...AND Three (3) years of professional experience as a registered nurse experience in an occupational field… more
- Select Medical (Los Angeles, CA)
- …Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) **Pay Rate: $50 - ... to the patient. **Qualifications** **Minimum Qualifications** + Current licensure in a clinical discipline per state guidelines ( RN , LCSW preferred). + Previous… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating the medical ... the use of healthcare services, procedures, and facilities. The RN conducts timely reviews of inpatient and outpatient medical.../*License/Certifications:*/ * Possession of a valid license as a Registered Nurse issued by the State of… 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
- CommonSpirit Health Mountain Region (Westminster, CO)
- …will cultivate excellence and achieve professional fulfillment united in humankindness. As a Registered Nurse ( RN ) you will assume responsibility and ... the way. Overview: **Qualified external applicants with at least six months of direct RN experience are eligible for a $20,000 sign-on bonus!** _To be eligible for… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …will cultivate excellence and achieve professional fulfillment united in humankindness. As a Registered Nurse ( RN ) you will assume responsibility and ... external applicants with at least six months of direct RN experience are eligible for a $20,000 sign-on bonus!**...care for orthopedic, abdominal, and general surgeries. 5 West appeals to anyone interested in broadening their skillset as… more
- Sacramento County (Sacramento, CA)
- …Employment Qualifications Minimum Qualifications Possession of a current valid license as a Registered Nurse and a Nurse Practitioner certification issued by ... of health care services involving diagnosis, assessment, treatment, and clinical management of patients in a public health center...must submit a copy of both my current valid Registered Nurse license AND my Nurse… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …duties as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and...supporting documentation, as well as facilitates the completion of appeals in a timely manner. + Prepares trend and… more
- Integra Partners (Troy, MI)
- …priorities, systems, and workflows in a fast-paced environment. EDUCATION: Active, unrestricted Registered Nurse , Licensed Vocational Nurse , or Licensed ... The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership...InterQual, CMS, health plan policies). + Review and process clinical and administrative appeals ; coordinate with Medical… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages ... and contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials/ appeals and retrospective payer audit denials.… more