• Registered Nurse - Clinical Appeals & Denials…

    Cognizant (Springfield, IL)
    …in utilization management to include Clinical Appeals and Grievances, precertification , initial and concurrent reviews . Intermediate Microsoft Office knowledge ... (Excel, Word, Outlook) . In-patient and outpatient experience **These will help you stand out** . Epic experience . Experience in drafting appeals disputing inpatient clinical validations audits is a plus. We're excited to meet people who share our mission and… more
    Cognizant (10/09/25)
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  • RN - Specialty CMPG Cardiology Main

    Carle Health (Peoria, IL)
    …catheters and IV per protocol and license. Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms or ... impatient and outpatient specialty procedures. Responsible for compliance with precertification requirements. Responsible for tracking system for follow-up appointments… more
    Carle Health (10/08/25)
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  • RN - Family Practice

    UnityPoint Health (Moline, IL)
    …IV per protocol and license . + Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms or ... and outpatient specialty procedures . Responsible for compliance with precertification requirements. + Responsible for tracking system for follow-up appointments… more
    UnityPoint Health (10/06/25)
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  • RN - Cmpg Pediatrics North Allen

    Carle Health (Peoria, IL)
    …and IV per protocol and license. + Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms or ... impatient and outpatient specialty procedures. Responsible for compliance with precertification requirements. + Responsible for tracking system for follow-up… more
    Carle Health (09/18/25)
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  • RN- Rheumatology

    Carle Health (Peoria, IL)
    …catheters and IV per protocol and license.Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms or ... impatient and outpatient specialty procedures. Responsible for compliance with precertification requirements.Responsible for tracking system for follow-up appointments related… more
    Carle Health (09/18/25)
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