- Mount Sinai Health System (New York, NY)
- **Job Description** ** RN /Case Manager MSH Case Management PT Days** The Case Manager (CM) will be responsible for all aspects of case management for an assigned ... or a minimum of 3-5 years experience as a RN in an acute care setting **Certification Requirements:** Current...with physicians and managed care companies on concurrent denial appeals e. Communicates clinical information to the payor, as… more
- Community Wellness Partners (Oswego, NY)
- …or more than forty (40) hours per week. QUALIFICATIONS: 1. Current NYS Licensed Registered Nurse 2. Knowledge of MDS 3.0, CAA's, Medicare and Medicaid Guidelines ... $75K - $85K/Year GENERAL DESCRIPTION: MDS (Minimum Data Set) nurse collects and assesses information for the health and...Issues NOMNC to residents/responsible party and assists with the appeals process, as needed. 20. Completes QA audits as… more
- Cummins Behavioral Health Systems Inc. (Avon, IN)
- …of practice (ANA). Education and/or Experience: Must possess Indiana state licensure as a Registered Nurse with certification as a Clinical Nurse Specialist ... place. * If being part of a learning organization appeals to you, get in touch with us. *...throughout central and west central Indiana. The Advanced Practice Nurse , under the supervision of a Staff Psychiatrist, will… more
- City and County of San Francisco (San Francisco, CA)
- …required. + Administers nursing care to patients according to physician's and Registered Nurse 's instructions and approved nursing and departmental policies and ... an online application Under supervision and according to physicians' or registered nurses' instructions, prepares, administers and records ordered medications and… more
- CommonSpirit Health (Westminster, CO)
- …Unit Opening 5W!** **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 ... pre-and post-operative care for orthopedic, abdominal, and general surgeries. 5 West appeals to anyone interested in broadening their skillset as we receive overflow… more
- Molina Healthcare (Madison, WI)
- …or equivalent combination of relevant education and experience. * Advanced Practice Registered Nurse (APRN) license. License must be active and unrestricted ... and recommends corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends… more
- State of Colorado (Golden, CO)
- Lead Mid-Level Provider / Nurse Practitioner - Campus at Lookout Mountain Youth Services Center Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5185040) Apply Lead Mid-Level Provider / Nurse Practitioner - Campus at Lookout Mountain Youth Services… more
- University of Utah Health (Salt Lake City, UT)
- …Review or Case Management experience. **Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 ... LOS, avoidable days, costs/barriers to discharge/transition and denied days. + Prepares appeals on denied cases when appropriate. **Knowledge / Skills / Abilities**… more
- BelovED Community & Empowerment Academy Charter Sc (Jersey City, NJ)
- …three campuses, an Elementary School, Middle School, and High School. We are hiring a School Nurse to serve all of our students. You will be working on a team of 4 ... Jersey City, Hoboken and New York City. If this appeals to you, then apply today! We have achieved...staff is part of the Pension in New Jersey. Nurse Responsibilities + Carrying out written orders of the… more
- Nuvance Health (Danbury, CT)
- …in nursing, health administration, or a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum of 5 years of clinical experience ... operational oversight for a team of utilization review staff, denials and appeals specialists, non-clinical support staff while partnering with local case management… more