• Clinical Appeals , RN

    RWJBarnabas Health (Oceanport, NJ)
    Clinical Appeals , RN , RemoteReq #:0000173624 Category:Billing/Collections/Registration Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate ... Services Department: Appeals Location: Remote , 2 Crescent Place, Oceanport,...is an integral part of our company's success. The RN of Appeals within the RWJ Barnabas… more
    RWJBarnabas Health (10/30/24)
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  • Clinical Review Clinician - Appeals

    Centene Corporation (New York, NY)
    …State Licensure required or + LVN - Licensed Vocational Nurse required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... requests + Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (11/01/24)
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  • RN Case Manager

    Memorial Sloan-Kettering Cancer Center (New York, NY)
    appeals and acquire authorizations for treatment Key Qualifications: + Current NYS Registered Nurse License/Registration and BSN preferred + At least 2-3 ... scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our...link is only accessible for MSK employees. Job Description RN Case Manager, Inpatient | New York, NY Exciting… more
    Memorial Sloan-Kettering Cancer Center (10/11/24)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (Neptune, NJ)
    …and utilization management **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support ... team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient… more
    Hackensack Meridian Health (08/16/24)
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  • Long Term Nurse Care Specialist

    Centene Corporation (Bronx, NY)
    …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... Sign on Bonus for this position This position requires RN licensure in NYS. It is a field based...+ Assist member with filing and resolving complaints and appeals + Direct care to participating network providers +… more
    Centene Corporation (09/15/24)
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