- Trinity Health (Darby, PA)
- …time Shift: Evening Shift Description: Under the general supervision of the RN Care Coordination Manager and Director of Care Coordination, the Emergency Department ... Also collaborates with Social Work to ensure appropriate primary care and specialist physician follow up. Collaborates with the ED healthcare team to determine… more
- Banner Health (Phoenix, AZ)
- Primary City/State: Phoenix, Arizona Department Name: Clinical Decision Making Work Shift: Day Job Category: Physicians The Senior Medical Director, Network ... Performance is a senior clinical executive responsible for advancing the performance of Banner Health's network of employed and contracted providers across Medicare… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims ... Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. .… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical Case...the lives of those we serve.** *Connect with our RN recruiting specialist * Not ready to complete ... prohibiting discrimination and harassment in employment." **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ), Clinical Case… more
- Molina Healthcare (Midvale, UT)
- … 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
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA- Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and Grievances ... well as externally to facilitate timely resolution of all grievances and appeals and ensures compliance with regulations. Additionally, this position is responsible… more
- State of Colorado (CO)
- CDOC Registered Nurse ( Nurse I) Print...RN license. 07 Do you possess an active RN license issued by an Enhanced Nurse Licensure ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4963973) Apply CDOC Registered Nurse ( Nurse I) Salary $7,591.00 - $10,627.00 Monthly… more
- State of Colorado (Sterling, CO)
- CDOC Registered Nurse - Part-time - Sterling Print...Yes + No 06 Do you possess an active RN license issued by an Enhanced Nurse Licensure ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4992041) Apply CDOC Registered Nurse - Part-time - Sterling Salary...Colorado? If so, what state issued your license? 07 Nurse Licensure Compact: If appointed to an RN… more
- University of Michigan (Ann Arbor, MI)
- Denials Prevention/ Appeals Specialist Apply Now **Job Summary** The Denials Prevention and Appeals Specialist is responsible for ensuring the accuracy ... employer. **Job Detail** **Job Opening ID** 266022 **Working Title** Denials Prevention/ Appeals Specialist **Job Title** Medical Coder Compliance Spec **Work… more
- Trinity Health (Des Moines, IA)
- …(https://www.mercyone.org/desmoines/find-a-location/)** Join the MercyOne Family! We are looking to hire a RN Clinical Integration Specialist . The purpose of ... the Clinical Integration Specialist is to assist and support the Director in...Day Shift **General Requirements:** + Iowa licensure as a Registered Nurse . + Member of a professional… more
