- VNS Health (Manhattan, NY)
- …the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals ( RN )to lead the daily operations of our ... grievance and appeals processes. You will play a crucial role in...+ License and current registration to practice as a registered professional nurse in New York State… more
- CareFirst (Baltimore, MD)
- …experience is required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact ... for Care Management. We are looking for an experienced RN leader in the greater Baltimore metropolitan area who...experience. Master's in Science Nursing or related field, Legal Nurse Consultant, Certified Case Manager . **Knowledge, Skills… more
- Elevance Health (Walnut Creek, CA)
- ** Nurse Appeals Lead ( RN )** **Location** : This role requires associates to be in-office **1-2 days per week** , fostering collaboration and connectivity, ... locations may be considered. **Shift:** Monday to Friday from 8:00am-5:00pm **PST** The ** Nurse Appeals Lead** is responsible for serving as a team lead… more
- Elevance Health (Cincinnati, OH)
- …provide an equivalent background. Preferred Skills, Capabilities and Experiences: + Licensed Registered Nurse ( RN ) or Licensed Independent Social Worker ... including assessments, service planning, care coordination, transition planning, member appeals , state hearings, and member and caregiver education and training.… more
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