• Appeals Licensed Practical…

    Evolent (Albany, NY)
    …for the mission. Stay for the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a meaningful impact ... as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to… more
    Evolent (05/16/25)
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  • Clinical Review Clinician - Appeals

    Centene Corporation (New York, NY)
    …preferred. RN or LPN Preferred NY State License Required **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required or + LVN ... Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to...- Licensed Vocational Nurse required or + RN...- Licensed Vocational Nurse required or + RN - Registered … more
    Centene Corporation (05/08/25)
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  • LPN Care Coordinator-Cancer Center-Part Time

    Guthrie (Corning, NY)
    … Practical Nursing license in the state in which the position resides. Licenses: Licensed Practical Nurse in the state of position. Essential Functions: ... monitoring, overdue results, referrals, provider orders and support the nurse navigator role. Experience: A minimum of 2 years'...of coverage of ordered medications. * *Coordinate and complete appeals for denials as needed * *Monitor and Review… more
    Guthrie (05/01/25)
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