• Clinical Appeals Nurse (RN):…

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

    R1 RCM (Detroit, MI)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help ... more
    R1 RCM (02/19/25)
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  • Clinical Appeals Nurse Coder

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …is eligible for the eWorker persona.The TeamAs an integral part of the Clinical Appeals team, the Appeals Nurse Reviewer will serve as a liaison and ... more
    Blue Cross Blue Shield of Massachusetts (02/13/25)
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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, ... more
    LA Care Health Plan (03/04/25)
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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 ... more
    CareFirst (03/04/25)
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  • Nurse Appeals Associate

    Elevance Health (Overland Park, KS)
    …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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  • Supervisor, Appeals and Grievances…

    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, ... more
    LA Care Health Plan (03/20/25)
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  • Clinical Coding Appeals Supervisor

    R1 RCM (Chicago, IL)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Supervisor** , you will support ... more
    R1 RCM (03/12/25)
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  • Grievance & Appeals Specialist,…

    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 Appeals Specialist

    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 and ... more
    CDPHP (03/20/25)
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  • Manager, Grievance and Appeals , RN

    VNS Health (Manhattan, NY)
    …Will Do + Responsible for direct oversight and the day to day management of clinical appeals review processes within Appeals & Grievances Department. + ... more
    VNS Health (03/05/25)
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  • Appeals and Grievance Specialist…

    Baylor Scott & White Health (Temple, TX)
    …expedited and external case reviews, and prepares final case submissions. + Refers clinical appeal cases to Medical Nurse Auditors or Pharmacy Technicians for ... 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 ... more
    WMCHealth (03/04/25)
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  • Clinical Nurse Specialist (Critical…

    City and County of San Francisco (San Francisco, CA)
    …and assists with designing and implementing plans for meeting such needs. The Clinical Nurse Specialist (Critical Care) performs other related duties as ... more
    City and County of San Francisco (02/22/25)
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  • Registered Nurse [ Clinical…

    City and County of San Francisco (San Francisco, CA)
    …EXPERIENCE: At least one (1) year of experience working as a Registered Nurse SPECIALTY REQUIREMENTS: + Clinical Documentation Specialist (CCDS) certification + ... more
    City and County of San Francisco (02/04/25)
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  • Utilization Management Nurse

    US Tech Solutions (Columbia, SC)
    …+ NICE TO HAVE skill sets/qualities: Utilization management experience and /or Appeals experience /strong clinical skills Behavioral Health or infusion therapy ... more
    US Tech Solutions (03/19/25)
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  • Registered Nurse I-$14,000 Sign On BONUS…

    State of Colorado (Denver, CO)
    …assigning responsibilities + During specific shifts, functions in the role of Charge Nurse and provides clinical and administrative supervision of nursing staff ... more
    State of Colorado (03/13/25)
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  • CDOC Nurse Supervisor

    State of Colorado (CO)
    …CAA Nurse III 01/2025 Department Department of Corrections Division Clinical and Correctional Services Opening Date 12/17/2024 Closing Date 6/30/2025 4:00 PM ... 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 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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