- Omaha Children's Hospital (Omaha, NE)
- …be considered. Children's Nebraska has an exciting opportunity to join our ** Nurse Practitioner Critical Care** **Transport** team! Our **Pediatric Nurse ... helicopter and a Pilatus PC-12 fixed-wing aircraft. The Pediatric Nurse Practitioner Transport Provider is responsible for managing the...activities and is home to a world-class zoo that appeals to children and adults alike. Greater Omaha has… more
- HCA Healthcare (Salem, VA)
- …clinical staff **Education:** + Successful completion of an accredited Licensed Practical/Vocational Nurse Program + RN licensure is preferred **Experience:** + ... an organization that invests in you as a Clinical Nurse Reviewer? At Parallon, you come first. HCA Healthcare...+ A minimum of one-year experience with denials and appeals in a clinical setting preferred + A minimum… more
- Omaha Children's Hospital (Omaha, NE)
- …Children's Nebraska has an exciting opportunity to join our **Neonatal Nurse Practitioner** **Transport** team! Our NNPs work collaboratively with flight nurses ... of Nebraska offers a unique opportunity for a Neonatal Nurse Practitioner (NNP) to join our dedicated neonatal transport...activities and is home to a world-class zoo that appeals to children and adults alike. Greater Omaha has… more
- Intermountain Health (Billings, MT)
- **Job Description:** The Licensed Practical Nurse (LPN) performs a variety of delegated nursing tasks and participates in patient care within their Scope of ... Practice, guided by registered nurses, licensed physicians, or other specified health care...Billings has a one-of-a-kind lifestyle with work balance that appeals to many. Check out these videos to hear… more
- US Tech Solutions (Columbia, SC)
- …the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) **About US Tech ... team works with multiple applications to process authorization and appeals requests using Medicare criteria. **Responsibilities:** + Reviews and evaluates… more
- Actalent (Rancho Cordova, CA)
- Utilization Review Nurse About the Role We're looking for a Utilization Review (UR) Nurse to join our team and support high‑quality, cost‑effective patient care ... additional clinical information when needed + Support denial management, including appeals and peer‑to‑peer review processes + Ensure regulatory compliance with… more
- State of Colorado (Canon City, CO)
- …with accessibility in mind. Preferred Qualifications: + A current, valid license as a Registered Nurse from the Colorado Board of Nursing, or any state ... of the department's action. For more information about the appeals process, the official appeal form, and how to...active license from the State of Colorado as a Registered Nurse or Nurse Practitioner?… more
- Houston Methodist (Sugar Land, TX)
- …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... utilization review activities, and monitoring the clinical denial management and appeals process, as applicable, in collaboration with clinical team partners. This… more
- State of Colorado (Denver, CO)
- …their job duties. This position works under the supervision and direction of a registered nurse and assists with psychiatric nursing care of mentally ill ... Patient Care: Under the direction and supervision of a registered nurse , engage with patients to establish...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Huron Consulting Group (Chicago, IL)
- …Tracking and Improvement: Provides analysis and reports of utilization, denials, and appeals KPIs, trends, patterns, and impacts to resources. Tracks, analyzes, and ... Level of Care Criteria and Milliman Care Guidelines (MCG) preferred. + Current RN license from Maryland Board of Nursing. + CCM or ACM certification preferred… more