• RN Clinical Review Clinician…

    Centene Corporation (Sacramento, CA)
    …State Licensure required or + LVN - Licensed Vocational Nurse required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... more
    Centene Corporation (04/04/25)
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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 ... more
    VNS Health (03/05/25)
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  • RN Clinical Review Appeals

    St. Luke's University Health Network (Allentown, PA)
    …Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. . ... more
    St. Luke's University Health Network (04/02/25)
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  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (Columbus, OH)
    appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of ... more
    Molina Healthcare (04/10/25)
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  • CDOC Registered Nurse - Part-time

    State of Colorado (Denver, CO)
    CDOC Registered Nurse - Part-time - Denver Print...Yes + No 06 Do you possess an active RN license issued by an Enhanced Nurse Licensure ... more
    State of Colorado (04/04/25)
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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 ... more
    Sacramento County (01/21/25)
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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. + ... more
    Sacramento County (01/21/25)
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  • Registered Nurse - Non Acute…

    Hackensack Meridian Health (Neptune, NJ)
    Registered Nurse - Non Acute - Endocrinology - Physician PracticeHMH PHYSICIAN SERVICES, INC.Borough of Neptune City, New Jersey Apply ... more
    Hackensack Meridian Health (04/03/25)
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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 ... more
    State of Colorado (04/09/25)
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  • Clinical Appeals Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    …organization or hospital. Demonstrated leadership skills. In Lieu of Education. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or ... more
    CareFirst (03/04/25)
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  • Registered Nurse Billings…

    Intermountain Health (Billings, MT)
    **Job Description:** The Registered Nurse ( RN ) is a professional caregiver who assumes responsibility and accountability for assessing, planning, ... more
    Intermountain Health (03/26/25)
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  • Registered Nurse [Experienced…

    City and County of San Francisco (San Francisco, CA)
    …License: Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License (**IMPORTANT: Be sure to include your ... more
    City and County of San Francisco (04/07/25)
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  • Certified Registered Nurse

    KidsPeace Childrens Hospital (Varina, IA)
    The Certified Registered Nurse Practitioner (CRNP) is responsible for overseeing the psychiatric needs of children, adolescents, and/or adults, with primary ... more
    KidsPeace Childrens Hospital (03/22/25)
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  • Clinical Appeals Supervisor

    R1 RCM (Detroit, MI)
    …identify targeted areas for additional support and engagement. **Required Skills:** + Active Registered Nurse license For this US-based position, the base pay ... more
    R1 RCM (04/18/25)
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  • Clinical Coding Appeals Supervisor

    R1 RCM (Salt Lake City, UT)
    …team members and 1:1 meetings on a routine basis. **Required Skills:** + Active Registered Nurse license + Active AHIMA or AAPC Coding Certification including ... more
    R1 RCM (04/12/25)
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  • Clinical Appeals Specialist

    CDPHP (Albany, NY)
    …, grievances, NYS external review, and making recommendations for change. QUALIFICATIONS: + Registered Nurse , Physician Assistant or Nurse Practitioner, with ... more
    CDPHP (04/07/25)
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  • Registered Nurse - Utilization…

    Ascension Health (Baltimore, MD)
    …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Maryland Board of Nursing ... more
    Ascension Health (04/11/25)
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  • Registered Nurse - Diagnosis Related…

    Elevance Health (Wallingford, CT)
    ** Registered Nurse - Diagnosis Related Group Coding...may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit ... more
    Elevance Health (04/10/25)
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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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  • CHS Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals according ... more
    Catholic Health Services (03/19/25)
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