- R1 RCM (Chicago, IL)
- …platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Nurse ** , you will help our ... remote, production-driven position. **Here's what you will experience working as a Clinical Appeals Nurse :** + Conduct a detailed review of patient medical… more
- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help ... remote production-drive position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to… more
- R1 RCM (Chicago, IL)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Supervisor** , you will help support clinicians ... position. **Here's what you will experience working as a Clinical Appeals Supervisor:** + Track and monitor...additional support and engagement. **Required Skills:** + Active Registered Nurse license For this US-based position, the base pay… more
- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals and Denials Manager** , you will serve as ... an expert on clinical appeals and denials management. Every day...challenges, and process improvement opportunities. **Required Skills:** + Registered Nurse (active or inactive in good standing and able… more
- Elevance Health (Chicago, IL)
- ** Nurse Medical Management II** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our ... Elevance Health PulsePoint locations. The ** Nurse Medical Management II** will be responsible to collaborate...of care and accurate claims payment. May also manage appeals for services denied. **How you will make an… more
- Elevance Health (Chicago, IL)
- ** Nurse Medical Management I** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of on of our ... Elevance Health PulsePoint locations. The ** Nurse Medical Management I** will be responsible to collaborate...of care and accurate claims payment. May also manage appeals for services denied. **How you will make an… more
- Elevance Health (Chicago, IL)
- …imaging, cardiac testing and sleep management services. Medical Directors in Clinical Operations determine the medical necessity of outpatient radiology, cardiology, ... sleep management, endoscopies and surgical site of care requests using clinical guidelines, state mandates, health plan medical policy and Medicare Coverage… more
- Insight Global (Skokie, IL)
- …from a clinical perspective. This person will be responsible for preparing appeals and communication with the clinical team members. With a strong focus ... Job Description Insight Global is looking for a clinical denials specialist to join the team at...and Requirements 3+ years experience as a utilization review nurse Experience reviewing and analyzing denied claims Knowledge of… more