- San Antonio Behavioral Health (San Antonio, TX)
- …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers to ... of potential denials and respond appropriately; ie facilitate Physician to Physician appeals when appropriate and assist with construction of appeal letters. +… more
- State of Colorado (Fremont County, CO)
- …by supervising residents' whereabouts, interactions, and conditions and refer to the charge nurse if necessary Hygiene Care + Collaborate with the charge nurse ... the effectiveness and appropriateness of the Treatment Care Plan, inform the charge nurse of refusals of hygiene care. + Document observations and care provided on… more
- State of Colorado (Garfield County, CO)
- …with others to ensure proper resident care and work completion. + Inform RN 's and LPN's of findings and changes in resident condition. + Maintains therapeutic ... CNA. Education and Work Experience Substitutions: + A valid nurse aide certification (CNA) from the Colorado Department of...work experience Conditions of Employment: + Current and Active RN License renewal required. + Must be willing to… more
- Guthrie (Binghamton, NY)
- …needed for patient that have arrived without orders. Prepare educational materials for the RN Nurse Navigator for Chemo Education Visits per the instruction and ... of coverage of ordered medications. + Coordinate and complete appeals for denials as needed + Monitor and Review...offices and for DBL office as needed Coverage for RN Nurse Navigator + Coordinate and facilitate… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …as necessary collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and ... including but not limited to development of standards, insurance company appeals and teleconferences and provision of prior authorization information; e.… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …as necessary collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and ... including but not limited to development of standards, insurance company appeals and teleconferences and provision of prior authorization information; +… more
- City and County of San Francisco (San Francisco, CA)
- …may be required. ** Under the direction of a licensed physician, registered nurse , or clinical supervisor, the Psychiatric Technician performs professional ... 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
- Saint Francis Health System (Tulsa, OK)
- …field. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or ... delegation standards established by the managed care contracts. Investigates and prepares appeals for insurance companies, when denial of reimbursement is related to… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …and support staff. **QUALIFICATIONS:** + Four (4) year college degree and must be a Registered Nurse . + Three (3) or more years of hospice nursing experience ... + Two (2) or more years experience managing external audits and writing appeals . + Possess a strong understanding of the current hospice regulatory environment. +… more
- Calvary Hospital (Bronx, NY)
- …year Requirements QUALIFICATIONS: 1. Master of Nursing Degree required. 2. NYS unencumbered Registered Nurse License required. 3. Ten (10) to fifteen (15) years ... to facilitate reimbursement for services provided by the Hospital. Oversees the appeals process for those cases for which reimbursement has been denied. Conducts… more