- State of Colorado (Limon, CO)
- CDOC Licensed Practical Nurse ( LPN ) -- Limon Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4748844) Apply CDOC Licensed ... of 2.8% through June 2025. $10,000 Hiring Incentives for LICENSED PRACTICAL NURSES ( LPN ): Payout...Applicant must possess a current, valid license as a Licensed Practical Nurse from the… more
- Evolent (Columbus, OH)
- …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
- Healthfirst (NY)
- …Responsibilities:** + Conduct quality audits of A&G items including grievances, pre-service appeals , and post service appeals utilizing appropriate sources of ... and performance to ensure quality. + Review and investigate appeals and grievances requests to ensure all requests are...+ Additional duties as assigned **Minimum Qualifications:** + NYS LPN or RN license. + HS Diploma or GED… more
- Healthfirst (NY)
- …appeal process + Additional duties as assigned Minimum Qualifications: + RN , LPN OR Dental Hygienist Preferred Qualifications: + Bachelors degree + Experience in ... clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management/case management. + Demonstrated… more
- Guthrie (Sayre, PA)
- … Practical Nursing license in the state in which the position resides. Licenses: Licensed Practical Nurse in the state of position. Essential Functions: ... Position Summary: The LPN Care Coordinator will assist the providers with...monitoring, overdue results, referrals, provider orders and support the nurse navigator role. Experience: A minimum of 2 years'… more
- BelovED Community & Empowerment Academy Charter Sc (Jersey City, NJ)
- Empowerment Academy is hiring a Certified Nursing Assistant or a Licensed Practical Nurse to work with our Head School Nurse and serve a student at our ... Jersey City, Hoboken and New York City. If this appeals to you, then apply today! We have achieved...development. Requirements + The Candidate needs to be a licensed CNA at the minimum. An LPN … more
- Waverly Health Center (Waverly, IA)
- …direct and indirect patient care under the direction of a Registered Nurse or Licensed Practical Nurse . Assists licensed staff caring for patients ... Direct Care Worker Registry (Iowa Department of Inspections and Appeals Health Facilities Division). Completion of Nurse ...and Appeals Health Facilities Division). Completion of Nurse Aide II course preferred. + Previous experience in… more
- Ellis Medicine (Schenectady, NY)
- …REQUIREMENT(S): + High School Diploma required. Associate's Degree in Health Sciences or Licensed Practical Nurse credential strongly preferred. In place of ... primary function is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse ...or send for insurance denials or quality improvement organization appeals . + Assists UM Coordinator with data entry of… more
- CVS Health (Frankfort, KY)
- …the state of Kentucky **Preferred Qualifications** Managed Care experience Prior Appeals experience **Education** LPN /LVN with current unrestricted state ... Responsible for the review and resolution of clinical complaints/grievances and appeals . Interprets data obtained from clinical records to apply appropriate clinical… more
- BrightSpring Health Services (Louisville, KY)
- …Overview Director of Clinical Denials Management and Audit supervises a team of RN/ LPN clinical reviewers as well as Support staff managing all areas of clinical ... claim pre and post audit, appeals submission, and reporting to Palmetto in response to...to minimize lost revenue. Conducts analysis on denials and appeals and identifies trends that present process improvement and… more
- State of Colorado (Pueblo, CO)
- …include: Implementation of Individual Program Plan Under the direction of the LPT, LPN , RN, CNA and within the scope of training provided: administers and documents ... life. ADL Skills: Under the direction of the LPT, LPN , RN, CNA and within the scope of training...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Jefferson County, CO)
- …position: Implementation of Individual Program Plan Under the direction of the LPT, LPN , RN, and within the scope of training provided: administers and documents ... of Daily Living Under the direction of the LPT, LPN , RN, and within the scope of training provided:...of QMAP training provided and the delegation of a nurse , administers medications and treatments to the individuals served… more
- State of Colorado (Aurora, CO)
- Nurse I - Part-Time - Fitzsimons VCLC -...of the department's action. For more information about the appeals process, the official appeal form, and how to ... Aurora, CO Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4765089) Apply Nurse I - Part-Time - Fitzsimons VCLC - Aurora, CO Salary $3,435.20… more
- State of Colorado (Aurora, CO)
- …a substitute for this education requirement. Substitutions: + Current, valid licensure as a Practical Nurse ( LPN ) from the Colorado Department of Regulatory ... Updating noted resident changes, reporting information to the charge nurse and recommending routines and schedules to IDT Team...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Rio Grande County, CO)
- Nurse II - Homelake VCLC Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4740861) Apply Nurse II - Homelake VCLC Salary $45.08 Hourly ... life and love abound. Description of Job As a Nurse II. this position exists to provide professional nursing...disciplines and monitors work progress and completion ie: RN, LPN , CNA + Monitor resident's condition and be attuned… 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
- Cleveland Clinic (Cleveland, OH)
- …Bachelor of Science in Nursing (BSN) or a bachelor's degree in a related field. + Licensed Registered Nurse ( LPN ) in the state of Ohio. + Professional ... to assist with appeal defense process. + RAC/Payer Audit Nurse : + Support denials and appeals within the Payer Audit department. + Conduct audit reviews… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Clinical Trials, Oncology, and/or elective surgical cases preferred. Essential Qualifications * Current licensed LPN or Registered Nurse (RN) with state ... provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on prior… more
- St. Mary's Healthcare (Amsterdam, NY)
- …and document approvals. Assist Utilization Management team with tracking denials/ appeals via spreadsheet. Issues CMS notices to patients/families and documents ... required. Bachelor's degree in social work, or related field or LPN preferred. Preferred Qualifications: Familiarity with healthcare and social service systems… more
- George C. Grape Community Hospital (Hamburg, IA)
- Clinic Nurse Medical Clinic LLC is looking for a...in Hamburg, Sidney, and Tabor. Looking for a CMA, LPN or RN to fill this position. Qualifications: Graduate ... full-time nurse . Four-day work weeks with 10-hour shifts from 7a-6p...with regulatory entities including Iowa Department of Inspection and Appeals , DEA, COLA, CLIA, local, state, and federal government.… more