- Elevance Health (Olathe, KS)
- ** Nurse Appeals ** **Location:** This position will work a hybrid model (remote and office). Candidates must reside in Olathe, KS, Topeka, KS, or Overland Park, ... KS. The ** Nurse Appeals ** role is responsible for investigating and processing and medical necessity appeals requests from members and providers. **How you… more
- Sharecare, Inc. (Kansas City, MO)
- …enrollment / new hire plan selection, claims issues, ID card issues, grievances/ appeals , utilization management (UM) status, including but not limited to medical, ... 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status +...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more