- Elevance Health (Costa Mesa, CA)
- ** Nurse Appeals - Licensed RN Nurse ** **Location:** This position will work in a hybrid model (remote and office). Ideal candidates will live in the state of ... our PulsePoint locations. **Shift:** Monday to Friday from 8:00am-5:00pm PST The ** Nurse Appeals ** is responsible for investigating and processing medical… more
- CVS Health (Hartford, CT)
- …**Position Summary** Responsible for the review and resolution of clinical appeals . Reviews documentation and interprets data obtained from clinical records to ... as required. This position may support UM, MPO, Coding, or Behavioral Health appeals . **Required Qualifications** + Must have active and unrestricted RN licensure in… more
- 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 ... Purpose: Manage day-to-day activities for staff handling grievances and appeals across our Managed Long Term Care (MLTC), Medicare...paid time off and 9 company holidays + Health insurance plan for you and your loved ones, Medical,… more
- CareFirst (Baltimore, MD)
- …as needed. Reviews, researches problematic correspondence and works on special projects with Appeals Nurse or Management. + Interacts regularly with and responds ... **Resp & Qualifications** **PURPOSE:** The Appeals Specialist II will be responsible for the...insurance payor environment. + 2 years experience in Appeals Management. **Preferred Qualifications:** + College Degree + Knowledge… more
- Elevance Health (Louisville, KY)
- …the benefits the member carries. **How you will make an Impact:** + The Nurse Appeals is responsible for investigating and processing medical necessity ... **Clinical Review Nurse I** **National Government Services** is a proud member...appeals requests from beneficiaries and providers + Conducts investigations and… more
- State of Colorado (Colorado Springs, CO)
- Registered Nurse I - Spring Creek Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4742521) Apply Registered Nurse I ... of Position: Delivers health care to detained and committed youth within the nurse 's scope of practice. Primary care is provided by independent practitioners with… more
- State of Colorado (Grand Junction, CO)
- NURSE II - Grand Junction Regional Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4771745) Apply NURSE II - Grand Junction ... events! CDHSCareers Description of Job About the Position: The nurse unit at Grand Junction Regional Center exists to...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- 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) ... Statewide, CO Job Type Full Time Job Number CAA Nurse I Statewide 01/2025 Department Department of Corrections Division...+ Medical and Dental Health Plans; + Paid life insurance ; + Short and long-term disability coverage; + 11… 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...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- 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 ... Statewide, CO Job Type Full Time Job Number CAA Nurse III 01/2025 Department Department of Corrections Division Clinical...457 plans; + Medical and Dental; + Paid life insurance ; + Short and long-term disability coverage; + 11… more
- 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 - ... Sterling, CO Job Type Part Time Job Number CAA Nurse I SCF 012/2024 Department Department of Corrections Division...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Limon, CO)
- CDOC Licensed Practical Nurse (LPN) -- Limon Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4748844) Apply CDOC Licensed Practical Nurse ... Plan plus 401K and 457 plans; + Medical and Dentalhealth plans; + Paid life insurance ; + Short and long-term disability coverage; + 11 paid holidays per year plus… more
- State of Colorado (Garfield County, CO)
- NURSE I - Veterans Community Living Center at...of the department's action. For more information about the appeals process, the official appeal form, and how to ... Rifle Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4596826) Apply NURSE I - Veterans Community Living Center at Rifle Salary $42.94 Hourly… more
- State of Colorado (Aurora, CO)
- Nurse I - Part-Time - Fitzsimons VCLC -...of the department's action. For more information about the appeals process, the official appeal form, and how to ... Aurora, CO Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4765089) Apply Nurse I - Part-Time - Fitzsimons VCLC - Aurora, CO Salary $3,435.20… more
- State of Colorado (Rio Grande County, CO)
- Nurse II - Homelake VCLC Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4740861) Apply Nurse II - Homelake VCLC Salary $45.08 Hourly ... life and love abound. Description of Job As a Nurse II. this position exists to provide professional nursing...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- St. Luke's University Health Network (Allentown, PA)
- …as necessary to ensure that documentation is entered and transmitted to insurance carriers within acceptable timeframes to comply with appeal deadlines. + Provides ... as deemed clinically appropriate. + Investigates managed care and commercial insurance rejections, denials for possible experimental services and coding issues,… more
- The Cigna Group (Bloomfield, CT)
- Nurse Case Management Lead Analyst- Nurse Clinician - Accredo Job Description Summary The Nurse Clinician - RN is responsible for reviewing escalated clinical ... a professional and ethical behavior at all times as outlined by the Nurse Practice Act and applicable company policies. **Ideal candidate must be available to… 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 ... 4/4/2025, 7/3/2025, 10/3/2025 In a detention/correctional facility, the Licensed Vocational Nurse D/CF performs a wide variety of vocational nursing duties,… 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 ... on: 12/2/24, 2/3/25, 4/7/25, 6/2/25, 8/4/25, 10/6/25, 12/1/25 Supervising Registered Nurse - Detention/Correctional Facility is the first level supervisory class in… 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 ... One year of experience as a Senior Public Health Nurse in Sacramento County service. Or: Two years of...you. These benefits currently include: health, dental and life insurance ; flexible spending account options for dependent care and… more