- Compass Health Network (Raymore, MO)
- …behavior to best serve our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are ... a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff...taken care of. An Outpatient Nurse will have a Monday through Friday schedule with… more
- Compass Health Network (St. Charles, MO)
- …behavior to best serve our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are ... a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff...of Microsoft Office Suite preferred LICENSURE/CERTIFICATION If Licensed Practical Nurse , license issued in Missouri required. LPN, RN… more
- Compass Health Network (St. Louis, MO)
- …behavior to best serve our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are ... a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff...taken care of. An Outpatient Nurse will have a Monday through Friday schedule with… more
- Compass Health Network (Arnold, MO)
- …behavior to best serve our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are ... a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff...taken care of. An Outpatient Nurse will have a Monday through Friday schedule with… more
- Compass Health Network (Raymore, MO)
- …behavior to best serve our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are ... a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff...taken care of. An Outpatient Nurse will have a Monday through Friday schedule with… more
- Compass Health Network (St. Charles, MO)
- …behavior to best serve our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are ... will interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion"… more
- Compass Health Network (Arnold, MO)
- …behavior to best serve our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are ... a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff...taken care of. An Outpatient Nurse will have a Monday through Friday schedule with… more
- CDPHP (Albany, NY)
- …share these values and invites you to be a part of that experience. The Clinical Appeals Specialist is responsible for adhering to a member/provider appeal ... of clinical nursing and medical practices, the Clinical Appeals Specialist will review...external review, and making recommendations for change. QUALIFICATIONS: + Registered Nurse , Physician Assistant or Nurse… more
- Trinity Health (Farmington Hills, MI)
- …**MINIMUM QUALIFICATIONS** Must possess a demonstrated knowledge of denial management functions. Registered Nurse and a graduate of an accredited school of ... causes of clinical denials. Responsible for leveraging clinical knowledge and standard procedures to track appeals...and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to… more
- St. Mary's Healthcare (Amsterdam, NY)
- …of nursing required. Licensure / Certification / Registration: Required Credential(s): * Registered Nurse credentialed from the New York Board of Nursing. ... based on experience and other factors permitted by law. Responsibilities: * Uses clinical and coding knowledge to ensure accurate and compliant charge items and to… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... Appeals and Grievances (A&G) Nurse Specialist Registered Nurse ( RN...appropriate area within the department. Investigation, and resolution of clinical member complaints (grievances/ appeals ) utilizing all regulatory… more
- Carle (Urbana, IL)
- Outpatient Denial/ Appeals Specialist - RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... Fields + Weekend Requirements: no + Other Posting Information: Registered Professional Nurse ( RN ) License... clinical documentation review to establish and manage clinical and prior authorization denial appeals for… 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/4555045) Apply CDOC Registered Nurse ( Nurse I) Salary $7,442.00 Monthly Location Statewide,… more
- State of Colorado (Chaffee County, CO)
- CDOC Registered Nurse - Part-time - Buena Vista 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/4626702) Apply CDOC Registered Nurse - Part-time - Buena Vista...Colorado? If so, what state issued your license? 07 Nurse Licensure Compact: If appointed to an RN… more
- Area Agency On Aging 1-b (Southfield, MI)
- The Appeals and Compliance Specialist is responsible for providing comprehensive responses in compliance with contract, regulatory and accreditation requirements ... an administrative clinical setting, including 1-2 years medicaid managed care appeals process & Health/Human Services. + The ability to effectively interact with… more
- City and County of San Francisco (San Francisco, CA)
- …( RN ) license issued by the California Board of Registered Nursing; AND + Clinical Nurse Specialist Certificate: Possession of a valid Clinical ... designing and implementing plans for meeting such needs. The Clinical Nurse Specialist performs other...accredited college or university. + License and Certification: + Registered Nurse License: Possession of a valid… more
- Fairview Health Services (St. Paul, MN)
- …M Health Fairview has an immediate opening for a Utilization Management Specialist RN . This position provides comprehensive assessment, planning, coordination, ... implementation, and reporting of complex clinical data. The utilization management specialist is responsible for the completion of admissions and continued stay… more
- Tarrytown Rehabilitation & Nursing Center (Everett, MA)
- …the recruitment/interview process for MDS and MMQ vacancies. Qualifications: + Licensed as a Registered Nurse in the State of Massachusetts + Three to Five years ... CLINICAL REIMBURSEMENT SPECIALIST / MULTI FACILITY We...(Medicaid, Medicare) and case management process (prior authorization and appeals ) required + Ability to multi-task and adapt to… more
- Trinity Health (Des Moines, IA)
- …health administration or related field required. + Iowa licensure as a Registered Nurse . + Member of a professional healthcare organization.Demonstrated ... **Employment Type:** Full time **Shift:** Day Shift **Description:** The purpose of the Clinical Integration Specialist is to assist and support the Director in… more
- BrightSpring Health Services (Louisville, KY)
- …be met. This position will also support detailed level reporting and analytics, clinical appeals , root cause analysis, and address identified trends in reasons ... Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors,...timely, compliant documentation that drives accurate billing Qualifications + Clinical review positions will require a RN … more
