- R1 RCM (Salt Lake City, UT)
- …platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Nurse ** , you will help our ... position. **Here's what you will experience working as a Clinical Appeals Nurse :** + Conduct...at telephonic hearings if needed. **Required Skills:** + Active Registered Nurse license For this US-based position,… more
- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help ... position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** +...external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + **Active AHIMA or… more
- University of Washington (Seattle, WA)
- …**UW MEDICINE'S PATIENT FINANCIAL SERVICES Department** has an outstanding opportunity for a ** CLINICAL APPEALS AND DISPUTES NURSE ** **Work Schedule** + 100% ... communicated payer decisions in a timely manner + Review clinical denials and initiate appeals process +...cycle **REQUIREMENTS** + Active licensure to practice as a Registered Nurse in Washington State + Bachelor's… more
- ProMedica Health System (Toledo, OH)
- …regarding issues that present themselves. Years of Experience: 2 years of clinical . Experience with electronic record interfaces License: RN Certification: Prior ... services with payers & assist with appeal process when needed. Provides clinical review and document submission of pre-certification requests for oncology treatments… more
- St. Mary's Healthcare (Amsterdam, NY)
- …of nursing required. Licensure / Certification / Registration: Required Credential(s): * Registered Nurse credentialed from the New York Board of Nursing. ... based on experience and other factors permitted by law. Responsibilities: * Uses clinical and coding knowledge to ensure accurate and compliant charge items and to… more
- 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 ... Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC...agencies. Good working knowledge of regulatory requirements/standards. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- 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
- 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,… more
- 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 ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4667564) Apply CDOC Registered Nurse - Part-time - Sterling Salary...Colorado? If so, what state issued your license? 07 Nurse Licensure Compact: If appointed to an RN… more
- 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...+ Use and care of medical equipment used in clinical and infirmary settings + Basic medical indications of… more
- 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)...+ Use and care of medical equipment used in clinical and infirmary settings + Basic medical indications of… more
- Intermountain Health (Billings, MT)
- **Job Description:** The Registered Nurse ( RN ) is a professional caregiver who assumes responsibility and accountability for assessing, planning, ... implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of technology,...and coordination of care with other health team members. ** Registered Nurse Scope Of Practice:** As a… more
- State of Colorado (Denver, CO)
- Registered Nurse I-$14,000 SIGN ON BONUS Colorado Mental 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 Mental Health Hospital in Fort… more
- Sharecare, Inc. (Columbus, OH)
- …in influencing patient and provider outcomes **Qualifications:** + Current multi-state/compact Registered Nurse licensure in state of residence is required, ... in working with payer to complete prior authorization or appeals process, when necessary. + Abide by Clinical... appeals process, when necessary. + Abide by Clinical Advocacy Program Description and Guidelines. + Meet productivity… more
- State of Colorado (Denver, CO)
- Registered Nurse I - Gilliam Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4568704) Apply Registered Nurse ... shift offered. We have multiple openings. Specific Job Duties: Clinical Duties: Ensures the provision of patient care is...Minimum Qualifications: + Current, valid or licensure as a Registered Nurse from any state participating in… more
- CareOregon (Medford, OR)
- … RN license in the State of Oregon + Minimum 2 year experience as a Registered Nurse ( RN ) in the healthcare industry + Valid driver's license, acceptable ... and must comply with all federal laws. Job Title Registered Nurse - Care Coordinator (Community) Exemption... - Care Coordinator (Community) Exemption Status Exempt Department Clinical Services Manager Title Care Team Supervisor Direct Reports… more
- 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 ... Team Care Conference and implement and update resident Plan of Care. The Registered Nurse Assessment Coordinator (RNAC) would: + Ensure accuracy of all… more
- 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) ... Registered Nurse - MDS Coordinator - Per...Diem - Days Department: UTILIZATION SERVICES Job Summary The RN - MDS Coordinator will play a crucial role in… more
- Trinity Health (Syracuse, NY)
- …appropriate discharge plan for the patients within their service area. The Registered Nurse Manager is accountable for applying positive managerial strategies ... of health care resources via pre- and post-service review, appeals and program and network referrals. The scope of...accredited School of Nursing and current licensure as a Registered Nurse in New York State. +… more
- McLaren Health Care (Bay City, MI)
- …institution + State of Michigan licensure as a Registered Nurse ( RN ) + Two years of recent clinical or utilization management experience **_Preferred:_** ... Summary:** In conjunction with the admitting/attending physician, the UR Specialist RN assists in determining the appropriate admission status based on the… more