- CVS Health (Charleston, WV)
- …unrestricted active license. Assists with reviewing clinical complaint/grievance and appeal requests of all clinical determinations/clinical policies. Considers all ... reviewed by a practitioner with clinical expertise for the appeal issue at hand (eg Specialty Match Review (SMR),...unrestricted state licensure in the state of West Virginia Must reside in the state of West Virginia **Preferred… more
- Iowa Department of Administrative Services (Marshalltown, IA)
- …and clinical leadership and direction to nursing staff. + The NCL acts as an Associate Nurse for residents in assigned coverage area for each shift worked, ... Nurse Clinician - Fox, Iowa Veterans Home Print...Abuse and Child Abuse Check. Minimum Qualification Requirements Applicants must meet at least one of the following minimum… more
- G-TECH Services, Inc. (Detroit, MI)
- …environment preferred. Registered Nurse with current unrestricted Michigan Registered Nurse license required. Other requirements: Associate Degree or nursing ... stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members. May...2 years acute care experience with an unrestricted Registered Nurse license * ICU/ER preferred *should not just be… more
- CareFirst (Baltimore, MD)
- …used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally ... **Resp & Qualifications** **PURPOSE:** This role manages the appeal process for members and providers who appeal on behalf of members for Maryland Medicaid,… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …California, Los Angeles (UCLA) seek applications for a full-time, tenure-track, Assistant and Associate Professor of Nursing. Candidates must hold a PhD in ... CLUSTER HIRE: ASSISTANT AND ASSOCIATE PROFESSOR IN LATINO/A LIFE IN THE UCLA...focus on Latinx experiences in the United States. Applicants must demonstrate a commitment and track record of addressing… more
- Banner Health (Chandler, AZ)
- …of the health care transformation, planning the future of Banner Health. As an Associate Director RN for the ICU/MOSU unit and Clinical Care Operation Department at ... department shared leadership and facility wide committees. As an Associate Director, RN, working within the Multi Organizational Service...Earn Trust, and Customer Obsessed. If living these values appeal to your path as a health care professional,… more
- Community Health Systems (Sarasota, FL)
- …licensed nurse /LPN who is responsible for effectively managing the denial/ appeal process via the performance of comprehensive analytic reviews of clinical and ... an acute care setting + Education: High School Diploma + License/Registration/Certification: Must possess current RN/LPN licensure in state of Florida + Computer… more
- CareFirst (Baltimore, MD)
- …used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally ... Appeals Supervisor (RN) directs and coordinates the accurate implementation of the clinical appeal process for members and providers who appeal on behalf of… more
- Spokane County (Spokane, WA)
- …position allocated to this class, under the direction and supervision of the Nurse Manager and the Juvenile Court Services Director, or designee, is responsible for ... youth's current Therapist, Psychiatrist, Chemical Dependency Counselor and the Nurse Manager regarding interventions and Behavioral Management Plans. + Coordinate… more
- Clark County, NV (Las Vegas, NV)
- …the Election Officer position. The ideal candidate will assist with clerical duties and must be able to multi-task, handle large volume of phone calls, and adapt ... and the employee will be terminated without right of appeal when such funds are no longer available. Some...a year-for-year basis. All qualifying education and each experience must be clearly documented in the "Education" and "Work… more
- State of Colorado (Gunnison County, CO)
- …faculty position with the opportunity for a tenure-track appointment as Assistant/ Associate Professor for candidates with a terminal degree. The successful candidate ... following: + Insuring and documenting the Nursing Education Program's compliance with the Nurse and Nurse Aide Practice Act, the Board's Rules and Regulations,… more
- Ascension Health (Oak Creek, WI)
- …M-F clinic hours - + **Call Schedule:** 1:10 shared with other locations, Nurse triage takes first call + **Practice Detail:** Full Scope Family Medicine + ... Family Medicine Physicians + 1 Physician Assistant + 2 Nurse Practitioners + Medical Assistants assigned to each Clinician...call + Epic EHR + Great work/life balance + Must be Board Certified or Board Eligible in Family… more
- Ascension Health (Baltimore, MD)
- …+ **Department:** Utilization Management + **Schedule:** On-site, Monday-Friday, 8:00AM-4:30PM. Must be available as needed to address urgent or time-sensitive ... location, qualifications and comparison with associates in similar roles_ **Registered Nurse , Certified Case Manager (CCM, ACM, URAC) preferred or willing to… more
- Clark County, NV (Las Vegas, NV)
- …a valid appraiser/intern license or state appraiser certification is highly desirable. Must possess a valid Nevada State property appraisal certificate in both real ... completion of 108 hours of approved accredited training in the appraisal field. Must possess a valid Nevada State property appraisal certificate in both real AND… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …Los Angeles (UCLA) invites applications for a faculty position at the level of Associate or full Professor ranks for the recruitment of a gastroenterologist to serve ... Medical Director of the Robert G. Kardashian Center for Esophageal Health. The applicant must have an MD or DO degree with completion of Internal Medicine residency… more
- Ascension Health (Indianapolis, IN)
- …coverage + **Hospital:** Ascension St Vincent Hospital + **Location:** Indianapolis, IN ** MUST ** have Case Management experience and a LCSW or RN license ... specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation....One or more of the following required: + Registered Nurse credentialed from the Indiana Board of Nursing obtained… more
- Independent Health (Buffalo, NY)
- …include, but are not limited to, monitoring workflow, mentoring and managing associate issues for assigned team members. The Clinical Supervisor will be directly ... components of the client centric delivery model. **Qualifications** + Registered Nurse (RN) with active, current, unrestricted NYS license required. Associates… more