• Clinical Appeals Nurse

    Molina Healthcare (Columbus, OH)
    … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical ... 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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  • Registered Nurse I, RN I…

    State of Colorado (Golden, CO)
    Registered Nurse I, RN I - Campus at Lookout Mountain, Youth Services Center - Golden Print ... more
    State of Colorado (03/19/25)
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  • Case Manager (CM) - Registered Nurse

    Select Medical (Los Angeles, CA)
    …UCLA Health and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Registered Nurse ( RN ) or Social Worker (LCSW) - Per Diem **Pay Rate ... more
    Select Medical (03/04/25)
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  • Customer Solution Center Appeals

    LA Care Health Plan (Los Angeles, CA)
    …The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse ( RN ) II provides direct assistance to member's with ... more
    LA Care Health Plan (03/04/25)
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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 ... more
    State of Colorado (03/17/25)
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  • Supervisor, Appeals and Grievances…

    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 ... more
    LA Care Health Plan (03/20/25)
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  • CDOC Registered Nurse - Part-time

    State of Colorado (Sterling, CO)
    CDOC Registered Nurse - Part-time - Sterling Print...Yes + No 06 Do you possess an active RN license issued by an Enhanced Nurse Licensure ... more
    State of Colorado (03/18/25)
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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 [ Clinical

    City and County of San Francisco (San Francisco, CA)
    …AND EXPERIENCE: At least one (1) year of experience working as a Registered Nurse SPECIALTY REQUIREMENTS: + Clinical Documentation Specialist (CCDS) ... more
    City and County of San Francisco (02/04/25)
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  • Registered Nurse I-$14,000 Sign…

    State of Colorado (Denver, CO)
    Registered Nurse I-$14,000 SIGN ON BONUS Colorado Mental Health Hospital in Fort Logan-Denver Print ... more
    State of Colorado (03/13/25)
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  • Registered Nurse - MDS Coordinator…

    Mohawk Valley Health System (Utica, NY)
    …Requirements REQUIRED: + Meets RN licensure as outlined by current State Registered Nurse Licensure. + Certified as a Resident Assessment Coordinator (RAC) ... more
    Mohawk Valley Health System (02/18/25)
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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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  • 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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  • 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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  • 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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  • Clinical Coding Appeals Supervisor

    R1 RCM (Chicago, IL)
    …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 (03/12/25)
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  • RN Staff Nurse

    South Central Regional Medical Center (Laurel, MS)
    …workflows for both prior authorizations and patient drug program management. Qualifications: Active Registered Nurse ( RN ) or Licensed Practical Nurse ... more
    South Central Regional Medical Center (03/13/25)
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  • Clinical Navigator - NeuroTransitional…

    Select Medical (O'Fallon, MO)
    …and valid state licensure or eligibility for state licensure as a Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Language Pathologist ... more
    Select Medical (03/08/25)
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