- Ellis Medicine (Schenectady, NY)
- …in MIDAS per policy. + Prints/copies the chart to fax or send for insurance denials or quality improvement organization appeals . + Assists UM Coordinator with ... files, updating referral information, and verifying information related to health insurance or benefits. Role requires interaction with clients, payers, post-acute… more
- Providence (OR)
- …are terminal and nearing end of life + Care management services include: nurse education, care coordination and general assistance with managing day to day ... the collaboration and management of patient care + Current unencumbered Registered Nurse License in state of residency **Preferred qualifications for this position… more
- Guthrie (Binghamton, NY)
- …in basket monitoring, overdue results, referrals, provider orders and support the nurse navigator role. Experience: A minimum of 2 years' experience preferred in ... license in the state in which the position resides. Licenses: Licensed Practical Nurse in the state of position. Essential Functions: Patient Calls Incoming and… more
- Guthrie (Corning, NY)
- …in basket monitoring, overdue results, referrals, provider orders and support the nurse navigator role. Experience: A minimum of 2 years' experience in nursing, ... license in the state in which the position resides. Licenses: Licensed Practical Nurse in the state of position. Essential Functions: Patient Calls Incoming and… more
- State of Colorado (Grand Junction, CO)
- …pay/time-in-series upon an offer. We will also be accepting any registered nurse applicants at this time. Starting LPN salary: $68,532/annually Starting RN salary: ... + Medical and dental health plans + Paid life insurance + Short- and long-term disability coverage + 11...of Nursing or any state participating in the Enhanced Nurse Licensure Compact (eNLC). OR Education and Experience: Two… more
- Bassett Healthcare (Cooperstown, NY)
- …follows up as indicated. + Communicates with Finance Department on issues of insurance , denials, authorizations and self-pay issues as needed + Interfaces with IPRO ... and financial indicators including LOS, excess days, resource utilization, denials and appeals , swing bed statistics. + Uses data to drive decisions and… more
- Elderwood (Cheektowaga, NY)
- Salary $38 - $49.50 per hour Overview Are you a Registered Nurse (RN) with Medicare experience? Do you consider yourself an expert in assessment and reimbursement ... and supportive staff, Generous PTO & holiday package, Life Insurance , Medical, Dental, and Vision insurance , NEW...for pre and post-pay record reviews, ADR requests and appeals processes. + Manages NYS RUGs III case mix… more
- Fallon Health (Worcester, MA)
- …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... and notifications for FCHP members, screens for member eligibility, additional active insurance coverage and authorization history from the core system. + Initiates… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …* Identifies opportunities for connecting members to group related benefits; eg Nurse Line, Employee Assistance Program, or other specialists with in BCBS Health ... of the department. * Guides member through the Prior Authorization and Appeals process. * Engage providers telephonically in reviewing and understanding treatment… more
- Centene Corporation (Jefferson City, MO)
- …+ Triages and resolves escalated health plan, Claims department, and provider inquires/ appeals or issues + Cross communication with IT, health plans, vendors, and ... software systems in a managed care organization preferred. **Certifications:** RN - Registered Nurse or LPN - Licensed Practical Nurse - State Licensure and/or… more