- 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 Angeles, CA, ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered… more
- CareFirst (Baltimore, MD)
- …and providers who appeal on behalf of members for all lines of business. Ensures quality management of the clinical appeal process to reduce the risk of State and ... with dynamic goals resulting in the full and fair review of appeals and designed to achieve corporate objectives and advance departmental capabilities. Accountable… more
- CDPHP (Albany, NY)
- …member-focused, and community-based not-for-profit health plan that offers high- quality affordable health insurance to members throughout New York. ... The company values people, quality , innovation, and community, and its corporate culture supports...to be a part of that experience. The Clinical Appeals Specialist is responsible for adhering to a member/provider… more
- HCA Healthcare (Nashville, TN)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Appeals Team Lead with Parallon you can be a part of an organization ... our organization. We are looking for an enthusiastic Clinical Appeals Team Lead to help us reach our goals....Unlock your potential! **Job Summary and Qualifications** The Compliance Nurse Team Lead is responsible for providing clinical input… more
- Henry Ford Health System (Troy, MI)
- …prompt and thorough investigation of medical, transportation, and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare ... RESPONSIBILITIES:\ + Conduct the primary investigation and resolution of member appeals and grievances following established guidelines from: The Center for Medicaid… more
- State of Colorado (Denver, CO)
- Youth Corrections Medical Operations Coordinator ( Nurse V) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4573875) Apply Youth Corrections ... Medical Operations Coordinator ( Nurse V) Salary $108,540.00 - $151,968.00 Annually Location Denver...administrative and clinical meetings + Oversee the response to quality -related findings and improvement efforts + Create and conduct… more
- State of Colorado (Denver, CO)
- Registered Nurse I-$14,000 SIGN ON BONUS Colorado Mental Health Hospital in Fort Logan-Denver Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4473211) Apply Registered Nurse I-$14,000 SIGN ON BONUS Colorado Mental Health Hospital in Fort… more
- State of Colorado (Denver, CO)
- Charge Nurse RN II - CO Mental Health Hospital...The vision of CMHHIFL is to provide the highest quality mental health services to person with complex, serious, ... *$14,000 Sign On Bonus* Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4556884) Apply Charge Nurse RN II - CO Mental Health Hospital in Fort… more
- State of Colorado (Denver, CO)
- Registered Nurse I - Gilliam Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4568704) Apply Registered Nurse I - ... patient care is within standards established by the State Nurse Practice Act and the Division of Youth Services...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Pueblo, CO)
- Registered Nurse I - Fixed Pool - CMHHIP Nursing - Pueblo $25,000 Sign On Incentive Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4623347) ... Apply Registered Nurse I - Fixed Pool - CMHHIP Nursing -...in Pueblo (CMHHIP) is a leading employer, provider of quality mental health services, and a community partner. CMHHIP… more
- Medical Mutual of Ohio (OH)
- …provide peace of mind to more than 1.2 million members through our high- quality health, life, disability, dental, vision and indemnity plans. We offer fully insured ... Manages initial, concurrent, and retrospective review of cases, including appeals , through evaluation of clinical information using established national decision… more
- Iowa Western Community College (Council Bluffs, IA)
- Adjunct Certified Nurse Aide (CNA) Instructor Print (https://www.schooljobs.com/careers/iwcc/jobs/newprint/4604168) Apply Adjunct Certified Nurse Aide (CNA) ... 9/16/2024 11:59 PM Central + Description + Benefits Description The Adjunct Certified Nurse Aide Instructor is responsible for organizing and teaching Nurse Aide… more
- Sacramento County (Sacramento, CA)
- Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply Supervising Registered Nurse D/CF Salary ... 5:00 pm on: 2/5/24, 4/2/24, 6/3/24, 8/5/24, 10/7/24, 12/2/24 Supervising Registered Nurse - Detention/Correctional Facility is the first level supervisory class in… more
- Sacramento County (Sacramento, CA)
- 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) ... at 5:00 pm on: 11/6/2023, 1/2/2024, 3/5/2024, 5/7/2024, 7/2/2024, 9/3/2024, 11/5/2024 Registered Nurse D/CF Level I: $61.27 - $74.48 hourly Registered Nurse D/CF… more
- Sacramento County (Sacramento, CA)
- Nurse Practitioner Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1780920) Apply Nurse Practitioner Salary $127,576.80 - $155,096.64 ... are at 5:00 pm on: 5/10/24, 6/7/24, 7/5/24, 8/2/24, 8/30/24, 9/27/24 Nurse Practitioners provide a range of health care services involving diagnosis, assessment,… more
- Sacramento County (Sacramento, CA)
- Supervising Public Health Nurse Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/600083) Apply Supervising Public Health Nurse Salary ... Minimum Qualifications Either: One year of experience as a Senior Public Health Nurse in Sacramento County service. Or: Two years of experience as a Public… more
- Sacramento County (Sacramento, CA)
- Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply Licensed Vocational Nurse D/CF Salary ... on: 4/4/24, 7/5/24, 10/3/24 In a detention/correctional facility, the Licensed Vocational Nurse D/CF performs a wide variety of vocational nursing duties, including… more
- Sacramento County (Sacramento, CA)
- Registered Nurse Level I/II Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/2579173) Apply Registered Nurse Level I/II Salary $45.21 - ... 4/9/24, 7/9/24, 10/8/24 . Note: Vacancies may be permanent or intermittent on-call. Registered Nurse Level I: $45.21 - $54.95 hourly Registered Nurse Level II:… more
- Atlantic Health System (Pompton Plains, NJ)
- Atlantic Health System is Seeking a Palliative Care Nurse Practitioner in Pompton Plains, NJ Atlantic Health System, one of New Jersey's largest non-profit ... healthcare networks, is seeking a Nurse Practitioner to join the expanding Palliative Care Service...work independently + Familiar with billing practices, denials and appeals process ID: 00020067 ABOUT US At Atlantic Health… more
- Intermountain Health (Billings, MT)
- **Job Description:** The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and ... evidence-based practice and coordination of care with other health team members. **Registered Nurse Scope Of Practice:** As a Registered Nurse you know that… more