• Astyra Corporation (New Bern, NC)
    *Are you an RN ready to make a difference in the...for daily living activities (ADLs).As a PCS *Home Health Registered Nurse *, you'll play a crucial role ... and make a significant impact on the lives of those in need.*What youll need:** Registered Nurse , licensed by the state of North Carolina* Minimum of two years… more
    JobGet (07/06/24)
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  • Supervisor, Appeals and Grievances Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... 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 (06/26/24)
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  • Registered Nurse ( RN )…

    University of Virginia (Charlottesville, VA)
    …2 years acute care hospital experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia required. PREFERRED QUALIFICATIONS: ... Inpatient and Outpatient Setting. Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process. They… more
    University of Virginia (07/06/24)
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  • Registered Nurse ( RN )…

    American Red Cross (NJ)
    …represented by union contract. **WHAT YOU NEED TO SUCCEED** **(Minimum Qualifications)** **:** + Registered nurse license required ( RN ) + Minimum one year of ... step of the blood collection process.** **As a charge nurse you will lead a team, draw blood and,...make a difference by volunteering in a position that appeals to you and allows you to use your… more
    American Red Cross (06/07/24)
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  • RN Registered Nurse

    Ascension Health (Manhattan, KS)
    …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... related to coding, medical records/documentation, precertification, reimbursement and claim denials/ appeals . + Assess and coordinate discharge planning needs with… more
    Ascension Health (06/14/24)
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  • CDOC Registered Nurse ( Nurse

    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 (06/28/24)
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  • Manager II - Medical Management - RN

    Elevance Health (Palo Alto, CA)
    **Manager II - Medical Management - RN - Grievances & Appeals ** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... M-F with rotation for Saturday. **Manager II - Medical Management - RN - Grievances & Appeals ** is responsible to manage a team of clinicians charged with… more
    Elevance Health (06/26/24)
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  • Manager II Grievance/ Appeals ( RN )

    Elevance Health (Woodland Hills, CA)
    **Manager II Grievance/ Appeals - Claims Support** **Location: *CA Residential Requirement** This position will work a hybrid model (remote and office). Ideal ... within 50 miles of one of our PulsePoint locations. The **Manager II Grievance/ Appeals ** is responsible for management oversight of grievances and appeals more
    Elevance Health (07/02/24)
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  • CDOC Registered Nurse - Part-time…

    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/4564337) 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
    State of Colorado (07/03/24)
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  • Registered Nurse ( RN

    Ivyhill Technologies LLC (Tyndall AFB, FL)
    Ivyhill is seeking Registered Nurses ( RN ) for a project in the Tyndall AFB, FL area. The qualified RN will provide Referral Management (RM) activities ... management systems. Will conduct reviews for medical necessity, pre-authorizations, medical appeals , collection and recovery from insurance carriers, and right of… more
    Ivyhill Technologies LLC (05/12/24)
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  • Supervising Registered Nurse D/CF

    Sacramento County (Sacramento, CA)
    Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply  Supervising Registered Nurse ... are at 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… more
    Sacramento County (04/16/24)
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  • Registered Nurse D/CF (Level I/II)

    Sacramento County (Sacramento, CA)
    …read and understood the above instructions. 02 Select the one box that best describes your Registered Nurse ( RN ) license issued by the State of California. + ... Registered Nurse D/CF (Level I/II) Print...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
    Sacramento County (04/16/24)
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  • Registered Nurse Level I/II

    Sacramento County (Sacramento, CA)
    …understood the above special requirements. 04 Select the one box that best describes your Registered Nurse ( RN ) license issued by the State of California. + ... Registered Nurse Level I/II Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/2579173)...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
    Sacramento County (04/13/24)
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  • RN - Grievance and Appeals Clinical…

    Centers Plan for Healthy Living (Margate, FL)
    RN - Grievance and Appeals Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063, USA Req #461 Monday, July 1, 2024 Centers Plan for Healthy Living's goal is to ... Reviewer will handle expedited and standard requests and ensures that the appeals are processed in accordance with regulations, compliance standards and policy and… more
    Centers Plan for Healthy Living (07/02/24)
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  • Registered Nurse II - High Acuity…

    State of Colorado (Pueblo, CO)
    Registered Nurse II - High Acuity...of the department's action. For more information about the appeals process, the official appeal form, and how to ... - $25,000 Sign On Incentive Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4542519) Apply  Registered Nurse II - High Acuity - CMHHIP… more
    State of Colorado (06/27/24)
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  • Registered Nurse I-$14,000 Sign…

    State of Colorado (Denver, CO)
    Registered Nurse I-$14,000 SIGN ON BONUS...of the department's action. For more information about the appeals process, the official appeal form, and how to ... 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… more
    State of Colorado (04/17/24)
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  • Per Diem Registered Nurse - (All…

    City and County of San Francisco (San Francisco, CA)
    …may result in dismissal and/or termination of employment. * California Registered Nurse ( RN ) Licenses (http://www. rn .ca.gov/) ... Clinic/Unit. LICENSE: Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License issued by the California Board of … more
    City and County of San Francisco (07/01/24)
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  • Clinical Appeals Analyst

    ManpowerGroup (Durham, NC)
    …and provides requested information as requested. **Hiring Requirements:** + **Licensure:** Must be a Registered Nurse ( RN ) licensed in the state of North ... **Title:** **Clinical Appeals Analyst** **Location: 4613 University Drive Durham NC...**Pay rate: $41.75/hr (On W2)** **Job Description:** The Clinical Appeals Consultant is responsible for supporting the increased workload… more
    ManpowerGroup (06/16/24)
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  • Registered Nurse I - Gilliam Youth…

    State of Colorado (Denver, CO)
    Registered Nurse I - Gilliam Youth...of the department's action. For more information about the appeals process, the official appeal form, and how to ... Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4568704) Apply  Registered Nurse I - Gilliam Youth Services Center Salary… more
    State of Colorado (07/04/24)
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  • Registered Nurse Assessment…

    Wesley Enhanced Living (Philadelphia, PA)
    …in the Nation as a Best Workplace in our industry! Hiring Immediately! The Registered Nurse Assessment Coordinator (RNAC) provides for the initial assessment and ... and implement and update resident Plan of Care. The Registered Nurse Assessment Coordinator (RNAC) would: +...appropriate payers. This includes overseeing UMR reviews and any appeals processes. + Take joint ownership of care conferences… more
    Wesley Enhanced Living (07/02/24)
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