• Appeals Manager

    BronxCare Health System (Bronx, NY)
    …special projects and committees as determined by Director. Qualifications CERTIFICATION/LICENSURE : Registered Nurse or physician or a foreign medical graduate ... the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to… more
    BronxCare Health System (09/19/25)
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  • Nurse I - RN Critical…

    State of Colorado (Pueblo, CO)
    …date and time listed. + Description + Benefits + Questions Department Information Registered Nurse I-Full Time CMHHIP This position has a residency waiver ... Nurse I - RN Critical Incident/Occurrence...in accordance with nursing education and licensure as a Registered Nurse . Duties in this position include:… more
    State of Colorado (12/03/25)
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  • Charge Nurse RN II (Internal Pool)-…

    State of Colorado (Denver, CO)
    Charge Nurse RN II (Internal Pool)- CO Mental...a license. As an example, if you are a registered nurse with a multistate license from Arizona ... Fort Logan (S. Denver) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5125585) Apply  Charge Nurse RN II (Internal Pool)- CO Mental Health… more
    State of Colorado (12/10/25)
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  • RN Medical Review Nurse Remote

    Molina Healthcare (NE)
    …will be supporting our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The candidate must have ... Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state...or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must… more
    Molina Healthcare (12/03/25)
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  • Off Hours Nurse Supervisor - Nurse

    State of Colorado (Denver, CO)
    …Support NA 01 A requirement of the position is that you possess and maintain a VALID Registered Nurse ( RN ) License issued by the State of Colorado or any ... a license. As an example, if you are a registered nurse with a multistate license from...The vision of CMHIFL is to provide the highest quality mental health services to persons with complex, serious,… more
    State of Colorado (12/10/25)
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  • Utilization Management Nurse ( RN

    Saint Francis Health System (OK)
    …levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers the details of reimbursement ... Nursing. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2 years of… more
    Saint Francis Health System (12/13/25)
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  • Inpatient Auth Review Services RN or LPN…

    HCA Healthcare (Nashville, TN)
    appeals , denials, managed care contracting, experienced preferred. + Currently licensed as a registered nurse ( RN ) in the state(s) of practice and/or has ... to join an organization that invests in you as an Inpatient Authorization Review Services Registered Nurse or Licensed Practical Nurse -NICU (Code Pink)? At… more
    HCA Healthcare (12/14/25)
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  • Nurse II - Veteran's Community Living…

    State of Colorado (Garfield County, CO)
    …night shifts to include holiday & weekends as needed + Must possess a valid Registered Nurse License ( RN ) from the Colorado Department of Regulatory Agencies ... of Employment & Appeal Rights Education/Licensure/Certification/Experience: Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or… more
    State of Colorado (12/03/25)
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  • Supervising Public Health Nurse

    Sacramento County (Sacramento, CA)
    …of Supervising Public Health Nurse : + Must possess and maintain a current Registered Nurse License and Public Health Nurse Certificate issued by the ... examination will evaluate the relevance, level, recency, progression and quality of candidate's education, training and experience. The candidate's...to this class must possess and maintain a current Registered Nurse license and Public Health … more
    Sacramento County (10/21/25)
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  • Utilization Review Nurse Coordinator (40…

    State of Connecticut, Department of Administrative Services (Middletown, CT)
    …eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/ Registered - Nurse / RN -Licensure-by-Endorsement) ... DCF team! Selection Plan FOR THOSE WHO HOLD AN RN LICENSE IN A STATE OTHER THAN CONNECTICUT AND...(https://www.elicense.ct.gov/) online (expand the 'Public Health Practitioners' grouping, select ' Registered Nurse ' and then 'Start'; + Request… more
    State of Connecticut, Department of Administrative Services (12/12/25)
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