• Nurse Appeals RN

    Elevance Health (Tampa, FL)
    ** Nurse Appeals ** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... an accommodation is granted as required by law._ The ** Nurse Appeals ** is responsible for investigating and...would provide an equivalent background. + Current active unrestricted RN license to practice as a health professional within… more
    Elevance Health (09/03/25)
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  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (Tampa, FL)
    … appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (08/15/25)
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  • Clinical Audit and Appeals Consultant

    Intermountain Health (Tallahassee, FL)
    **Job Description:** The RCO Audit & Appeals RN Consultant is responsible for consulting on clinical Appeals and Audits for Intermountain Health. The Audit/ ... Appeals RN Consultant will execute clinical audits of medical records...institution. Education is verified + Current licensure as a registered nurse required. + Experience in Microsoft… more
    Intermountain Health (09/08/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Tampa, FL)
    …hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals , claims review, and medical coding. **Job Summary** Utilizing ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • Infusion Referral Nurse Sr- REMOTE

    Prime Therapeutics (Tallahassee, FL)
    …Patient Programs. **Minimum Qualifications** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... and spreadsheets. + Supports clinical services such as the appeals program. + Participates in meetings and consults with...for work visa or residency sponsorship **Additional Qualifications** + Registered Nurse ( RN ). + 5… more
    Prime Therapeutics (09/04/25)
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