- CVS Health (Baton Rouge, LA)
- …And we do it all with heart, each and every day. **Position Summary** Must reside in Louisiana Responsible for intake, investigation and resolution of appeals , ... responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance. Identify trends and emerging issues and report… more
- CVS Health (Hartford, CT)
- …US. Standard business hours 8a-5p in time zone of residence Monday - Friday. The Appeals Nurse Consultant position is responsible for processing the medical ... necessity of Medicare appeals for participating providers. Primary duties may include, but...through multiple computer system applications in a fast-paced department. Must work independently as well as in a team… more
- State of Colorado (Pueblo, CO)
- …Substitutions, Conditions of Employment & Appeal Rights Minimum Qualifications: Applicants must possess a valid, active Registered Nurse License issued ... Nurse I - RN Critical Incident/Occurrence Reporter-CMHHIP-Pueblo Print...constitute a critical incident/occurrence and determines which of those must be reported to Law Enforcement, OCFMH/CDHS Leadership, CMHHIP… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251212-5613FP-001 Location East Hartford, CT Date Opened 12/16/2025 12:00:00 AM Salary ... + + + Introduction Are you an experienced Registered Nurse looking to make a difference in the lives...review of cases and case referral to a physician consultant for final disposition; + Perform related duties as… more
- Sacramento County (Sacramento, CA)
- …Service Commission, 700 H Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days after notice of ... Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply Licensed Vocational Nurse D/CF Salary… more
- Sacramento County (Sacramento, CA)
- …Service Commission, 700 H Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days after notice of ... Registered Nurse D/CF (Level I/II) Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/454059) Apply Registered Nurse D/CF (Level I/II)… more
- Community Wellness Partners (Oswego, NY)
- …Maintains open communication with Medical Staff, Administrator, DON, ADON and Pharmacy consultant 23. Attends Nurse Management meetings, Patient Care meetings ... $75K - $85K/Year GENERAL DESCRIPTION: MDS (Minimum Data Set) nurse collects and assesses information for the health and...Issues NOMNC to residents/responsible party and assists with the appeals process, as needed. 20. Completes QA audits as… more
- City and County of San Francisco (San Francisco, CA)
- …Independent Medical Evaluators) on complex cases. 12. Works collaboratively with the Occupational Nurse Consultant , Nurse Manager, and/or Nurse Case ... establishing the position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being… more
- NHS Management, LLC (Tuscaloosa, AL)
- …are provided in accordance with the assessment and the plan of care. QUALIFICATIONS + Must be a Registered Nurse in good standing in the state(s) in which ... assigned + Must be knowledgeable in the areas of general nursing,...Administrator, Director of Medicare and Rehabilitation and MDS/Clinical Information Consultant . + Conducts audits to ensure accurate completion of… more
- Sacramento County (Sacramento, CA)
- …Service Commission, 700 H Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days after notice of ... of California to practice as a: Either: 1. Psychiatric Technician Or: 2. Registered Nurse Or: 3. Vocational Nurse Note: The word "experience" referenced in the… more