- 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
- State of Colorado (Denver, CO)
- …About the Position: This position works under the supervision and direction of a registered nurse and assists with psychiatric and medical nursing care of ... Care: + Under the direction and supervision of a registered nurse , engage with patients to establish...and interventions before providing care, whenever possible + Assists RN and MHC to complete precaution levels and accountability… more
- State of Colorado (Pueblo, CO)
- …About the Position: This position works under the supervision and direction of a registered nurse and assists with psychiatric and medical nursing care of ... include: Clinical Skills: + Under the supervision of a registered nurse , interact with patients to build...should be reported by alerting public safety, the charge RN , the Lead Nurse , and the nursing… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the use of medical and health care services for members. The SN CHA Nurse may also perform other technical and administrative tasks essential to the efficient ... other functions as assigned by management. Minimum Qualifications: + RN with valid and current NYS Nursing Licensure. +...not limited to UM and CM, Fair Hearings and Appeals /Grievances, within three months of working in position. +… more
- City and County of San Francisco (San Francisco, CA)
- …and throughout anesthesia; and performs related duties as required. The Certified Registered Nurse Anesthetist (CRNA) requires responsibility for: carrying out ... Maintains an accurate anesthesia narcotic record. The 2330 Certified Registered Nurse Anesthetist (CRNA) performs other related...Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'… more
- Beth Israel Lahey Health (Plymouth, MA)
- …team to assess and improve the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding ... job that may reasonably be required._ **Education/Experience Required:** + Current MA RN licensure + Bachelor's Degree in Nursing or advanced degree in healthcare… more
- State of Colorado (Pueblo, CO)
- …exists to deliver nursing care and therapeutic interventions under the supervision of a registered nurse . The Client Care Aide II provides nursing care as ... any type of harassment/work place violence, alerts public safety/charge RN /Lead Nurse /and nursing appointing authority. + Arrives...if your application is eliminated. You will find the appeals process, the official appeal form, and how to… 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
- 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
- The County of Los Angeles (Los Angeles, CA)
- …when needed to carry out job-related essential functions. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing** ... ensure the License and Certificate Section of the application is completed for the Registered Nurse License. Provide the title of your required license and… more