- CommonSpirit Health Mountain Region (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
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …ensuring high-quality, clinically sound decision-making. The Clinical Appeal and Grievance Nurse is responsible for conducting daily clinical and benefit reviews in ... (IROs) for timely and accurate decisions + Ensure strict adherence to Appeals and Utilization Management (UM) processes and regulatory and accreditation requirements… 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
- Cedars-Sinai (Beverly Hills, CA)
- …Investigates, processes and assists with the resolution of provider grievances and appeals in accordance with contractual requirements and corporate policy. + Begins ... + For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for continued review and… more
- Bassett Healthcare (Cooperstown, NY)
- …in a healthcare setting, preferred Licensure/Certifications: + Current NYS licensure as a Registered Professional Nurse , if applying as a nurse , required ... of life possible. What you'll do The Case Manager RN supports the physician and interdisciplinary team in facilitating...indicators including LOS, excess days, resource utilization, denials and appeals , swing bed statistics. + Uses data to drive… 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
- 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
- Stanford Health Care (Palo Alto, CA)
- …Days or + CCDS - Cert Clinical Document Spec required within 180 Days or + RN - Registered Nurse - State Licensure And/Or Compact State Licensure required ... the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and denials. This position requires strong… more
- Independent Health (Buffalo, NY)
- …with regulatory standards, clinical criteria, and member benefit contract. **Qualifications** + Registered Nurse ( RN ) with active, current, unrestricted NYS ... the collection and review of medical records specific to quality complaints/grievances and appeals as indicated in support of a high performing health plan and… 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