- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Bachelor's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...Cycle/HIM regarding RAC decision to appeal, denials, input into appeals , share findings with providers. Review all cases… 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 ... assessment, written performance assessment or it may include a review of your application material and your responses to...active license from the State of Colorado as a Registered Nurse or Nurse Practitioner?… more
- State of Colorado (Pueblo, CO)
- …Conditions of Employment & Appeal Rights Minimum Qualifications: Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state ... Nursing Experience is defined as work experience as a Registered Nurse . Your application must clearly state...Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online… more
- State of Colorado (Garfield County, CO)
- …of Employment & Appeal Rights Education/Licensure/Certification/Experience: Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or ... to the position through continuing education, clinical supervisory literature review , and participating in discipline and team development. +...is to possess current and valid licensure as a Registered Nurse from the Colorado Board of… 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** ... disciplinary problems. Other positions are assigned such functions as: review and analysis of State, Federal and local legislation...Certificate Section of the application is completed for the Registered Nurse License. Provide the title of… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …Utilization Review Clinician PAY RANGE: LVN/LPT $35.00-44.19 Per Hour RN /LCSW/LMFT/LPCC $54.00-68.18 Per Hour REPORTS TO: Director of Utilization Review ... optimize reimbursement for external reviewers/third party payers. The Utilization Review Clinician maintains knowledge of, participates in further training provided,… more
- University of Utah Health (Salt Lake City, UT)
- … or Case Management experience. **Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days ... appropriateness of admissions with associated levels of care and continued stay review . + Communication to third-party payers for initial and concurrent clinical … more
- Beth Israel Lahey Health (Plymouth, MA)
- …you're making a difference in people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At ... Plymouth and Barnstable counties. Our Nutrition Services Team consists of registered and licensed dietitians who provide expert nutritional interventions to improve… more
- State of Colorado (Garfield County, CO)
- …changes in resident's conditions that need to be assessed by a registered nurse . Other duties as assigned Minimum Qualifications, Substitutions, Conditions ... LICENSED PRACTICAL NURSE III - Rifle, CO Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5175964) Apply LICENSED PRACTICAL NURSE III -… 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 ... appeal with the State Personnel Board or request a review by the State Personnel Director. An appeal or...of the department's action. For more information about the appeals process, the official appeal form, and how to… more