• Clinical Denials Specialist

    UHS (Binghamton, NY)
    …(5) years of experience in acute/tertiary facility. + Minimum Required: NYS Licensed Registered Nurse Preferred: + Bachelor's of Science in Nursing with three ... on experience Job Responsibilities: + Prepare and submit timely, well-documented appeals for denied services to Medicare, Medicaid, and commercial payers, including… more
    UHS (09/09/25)
    - Related Jobs
  • Administrator of Admissions, Outreach & Intake

    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
    Calvary Hospital (08/20/25)
    - Related Jobs
  • Psychiatrist

    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 (07/09/25)
    - Related Jobs
  • Pediatrician / Family Practice

    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
    KidsPeace Childrens Hospital (07/09/25)
    - Related Jobs
  • Psychiatric Technician - San Francisco Dept.…

    City and County of San Francisco (San Francisco, CA)
    …shifts may be required. ** Under the direction of a licensed physician, registered nurse , or clinical supervisor, the Psychiatric Technician performs responsible ... 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
    City and County of San Francisco (06/27/25)
    - Related Jobs
  • Transportation Driver (Client Care Aide II)…

    State of Colorado (Rio Grande County, CO)
    …Communicates with others to ensure proper resident care and work completion + Keeps RN 's and LPNs informed of findings and changes in resident condition + Transports ... Appeal Rights Special Qualification: + Current & active Certified Nurse Aide license renewal required and be CPR certified,...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (09/09/25)
    - Related Jobs
  • Assistant Professor & Chair of Graduate Education…

    Morehouse School Of Medicine (Atlanta, GA)
    …issues . Current knowledge of institutional and programmatic accreditation requirements for nurse -midwifery, nurse practitioner, and RN educational programs ... a regionally accredited institution of higher education . Active, unencumbered Georgia RN license and midwifery or APRN license . Current national certification in… more
    Morehouse School Of Medicine (08/08/25)
    - Related Jobs
  • Reviewer I, Medical

    US Tech Solutions (Columbia, SC)
    …United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC). **Skills:** ... of professional, inpatient or outpatient, facility benefits or services, and appeals . Documents decisions using indicated protocol sets or clinical guidelines.… more
    US Tech Solutions (08/22/25)
    - Related Jobs