• Clinical Appeals Nurse Coder

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …to help us transform healthcare? Bring your true colors to blue. The RoleThe Appeals Nurse Reviewer is responsible for reviewing provider claims appeals , ... more
    Blue Cross Blue Shield of Massachusetts (02/13/25)
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  • Clinical Appeals Nurse (RN): Texas…

    Molina Healthcare (Columbus, OH)
    …appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously ... more
    Molina Healthcare (02/09/25)
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  • Clinical Coding Appeals Nurse

    R1 RCM (Detroit, MI)
    …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical ... more
    R1 RCM (02/19/25)
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  • Customer Solution Center Appeals…

    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, ... more
    LA Care Health Plan (03/04/25)
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  • Nurse Appeals Associate

    Elevance Health (Columbus, OH)
    …clinicians and business leaders passionate about transforming American healthcare delivery. ** Nurse Appeals Associate** **Location:** This position will work a ... more
    Elevance Health (03/20/25)
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  • Appeals Specialist II (Remote)

    CareFirst (Baltimore, MD)
    …as needed. Reviews, researches problematic correspondence and works on special projects with Appeals Nurse or Management. + Interacts regularly with and responds ... more
    CareFirst (02/15/25)
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  • Appeals Analyst Nurse

    US Tech Solutions (Columbia, SC)
    …to work remote. Equipment will be provided. + Prefer 2 yrs. UM and/or appeals experience. We want to see all candidates with experience with prior insurance, ... more
    US Tech Solutions (03/14/25)
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  • Clinical Appeals Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process for members ... more
    CareFirst (03/04/25)
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  • Manager, Grievance and Appeals , RN

    VNS Health (Manhattan, NY)
    …complexities of healthcare? VNS Health Plans is seeking a dedicated Manager, Grievance and Appeals (RN)to lead the daily operations of our grievance and appeals ... more
    VNS Health (03/05/25)
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  • Grievance & Appeals Specialist, Clinical

    VNS Health (Manhattan, NY)
    OverviewResolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage ... more
    VNS Health (02/07/25)
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  • Clinical Coding Appeals Supervisor

    R1 RCM (Chicago, IL)
    …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Supervisor** , you will support clinical coders and coding team ... more
    R1 RCM (03/12/25)
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  • Supervisor, Appeals and Grievances Clinical…

    LA Care Health Plan (Los Angeles, CA)
    Supervisor, Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... more
    LA Care Health Plan (03/20/25)
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  • Clinical Appeals Specialist

    CDPHP (Albany, NY)
    …values and invites you to be a part of that experience. The Clinical Appeals Specialist is responsible for adhering to a member/provider appeal and grievance process ... more
    CDPHP (03/20/25)
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  • Appeals and Grievance Specialist…

    Baylor Scott & White Health (Temple, TX)
    **JOB SUMMARY** Hybrid position - Temple, TX The Appeals and Grievance Specialist performs reviews, within operational aspects, of the member and provider ... more
    Baylor Scott & White Health (01/28/25)
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  • Asst Utilization Coordinator - Appeals

    WMCHealth (Valhalla, NY)
    Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... more
    WMCHealth (03/04/25)
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  • Nurse II- $25,000 Sign On Incentive!!

    State of Colorado (Pueblo, CO)
    Nurse II- $25,000 SIGN ON INCENTIVE!! Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4844990) Apply  Nurse II- $25,000 SIGN ON INCENTIVE!! ... more
    State of Colorado (03/18/25)
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  • CDOC Registered Nurse - Part-time

    State of Colorado (Sterling, CO)
    CDOC Registered Nurse - Part-time - Sterling Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4756062) Apply  CDOC Registered Nurse - ... more
    State of Colorado (03/18/25)
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  • CDOC Nurse Supervisor

    State of Colorado (CO)
    CDOC Nurse Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4764859) Apply  CDOC Nurse Supervisor Salary $8,204.00 - $11,487.00 ... more
    State of Colorado (03/18/25)
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  • CDOC Registered Nurse ( Nurse I)

    State of Colorado (CO)
    CDOC Registered Nurse ( Nurse I) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4762850) Apply  CDOC Registered Nurse ( Nurse I) ... more
    State of Colorado (03/17/25)
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  • Nurse I - Cmhhip - $25,000 Sign…

    State of Colorado (Pueblo, CO)
    Nurse I - CMHHIP - $25,000 SIGN ON...of the department's action. For more information about the appeals process, the official appeal form, and how to ... more
    State of Colorado (03/04/25)
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