- Evolent (Boston, MA)
- …Join a mission with a company behind it. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a meaningful impact ... and procedures while complying with timeliness guidelines. Our clinical nurse reviewer team values collaboration, continuous learning, and a...and Preferred** : + 1-3 years' experience in clinical Appeals Review and is an LPN -… more
- Beth Israel Lahey Health (Charlestown, MA)
- …in a high-profile team tasked with handling all commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high level clinical ... and procedures; to gather information that would support submitted charges. Prepare clinical appeals relevant to the audits in order to prove medical necessity and… more
- Brockton Hospital (Brockton, MA)
- …The responsibilities include the development and supervision of staff (RNs, LPN 's,SWs and non-clinical support), evaluation and maintenance of case management skills ... Group The responsibilities include the development and supervision of staff (RNs, LPN 's, SWs and non-clinical support), evaluation and maintenance of case management… more