- St. Mary's Healthcare (Amsterdam, NY)
- …of nursing required. Licensure / Certification / Registration: Required Credential(s): * Registered Nurse credentialed from the New York Board of Nursing. ... and audit requests and coordinates attempts to overturn denials by drafting appeals , negotiating with payers, or following up with payer utilization review… more
- Guidehouse (Huntsville, AL)
- **Job Family** **:** Clinical Appeals Nurse **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **R** **emote** ... **Clinical Denials RN ** is responsible for review, analysis and appeal of...Necessity Reviews + Ensure documentation integrity + Construct warranted appeals + Coordinate pre-service authorization approvals **Duties and Responsibilities:**… more
- State of Colorado (Denver, CO)
- …(HP III RN ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5002223) Apply Registered Nurse Health Compliance Inspector Home Care - ... Registered Nurse Health Compliance Inspector Home Care -...FAA00601 (HP III RN ) Salary $80,916.00 Annually Location Denver, CO Job Type Full Time… more
- State of Colorado (Golden, CO)
- Registered Nurse I, RN I...of the department's action. For more information about the appeals process, the official appeal form, and how to deliver ... Mountain, Youth Services Center - Golden Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5008113) Apply Registered Nurse I, RN I -… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical Case Manager* PRN * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound commitment to ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...payer guidelines and discharge financial implications. * Manages denial appeals and chart audit reviews. *7. Case Management** Acts… more
- University of Washington (Seattle, WA)
- …**UW Medical Center-Montlake - Rheumatology Clinic** has an outstanding opportunity for a ** Registered Nurse .** **WORK SCHEDULE** + Full time / 40 hours per ... staff. This position will be the only full time RN on the team. **PRIMARY JOB RESPONSIBILITIES** + Conducts...hospital setting + Active licensure to practice as a Registered Nurse in Washington State + BLS… more
- Geisinger (Danville, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... of PA. + At least three (3) years of RN work experience is required, and experience in Case...payor experience in either Utilization Review, Case Management or Appeals is preferred. + Professional experience interacting with facility… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Clinical Appeals Nurse RN ? At Parallon, you come first. HCA Healthcare has ... a difference. We are looking for a dedicated Clinical Appeals Nurse RN like you...qualifications you will need:** + Currently licensed as a Registered Nurse ( RN ) in the… more
- Ascension Health (Wichita, KS)
- …**Requirements** Licensure / Certification / Registration: Required Credential(s): + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... related to coding, medical records/documentation, precertification, reimbursement and claim denials/ appeals . + Assess and coordinate discharge planning needs with… more
- St. Luke's University Health Network (Allentown, PA)
- …Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. . ... of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding… more
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