• Clinical Appeals Nurse…

    Molina Healthcare (GA)
    … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical ... **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must...with internet connectivity of high speed required._ **Job Summary** Clinical Appeals is responsible for making appropriate… more
    Molina Healthcare (07/20/25)
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  • Nurse Appeals - Medicare

    Elevance Health (Atlanta, GA)
    ** Nurse Appeals - Medicare** **Location:** Virtual:.../grievances/quality of care issues and is a resource for clinical and non clinical team members in ... an accommodation is granted as required by law. The ** Nurse Appeals - Medicare** is responsible for...would provide an equivalent background. + Current active unrestricted RN license to practice as a health professional within… more
    Elevance Health (07/23/25)
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  • Infusion Referral Nurse - REMOTE

    Prime Therapeutics (Atlanta, GA)
    …visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5 years of post-degree clinical experience. + Experience in ... these cases in web-based application and spreadsheets. + Supports clinical services such as the appeals program....+ Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State… more
    Prime Therapeutics (07/24/25)
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