• Clinical Appeals And Disputes

    University of Washington (Seattle, WA)
    …PATIENT FINANCIAL SERVICES Department** has an outstanding opportunity for a ** CLINICAL APPEALS AND DISPUTES NURSE ** **Work Schedule** + 100% FTE + ... communicated payer decisions in a timely manner + Review clinical denials and initiate appeals process +...**REQUIREMENTS** + Active licensure to practice as a Registered Nurse in Washington State + Bachelor's degree in Nursing… more
    University of Washington (09/18/24)
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  • Customer Solution Center Appeals

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, ... safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II… more
    LA Care Health Plan (08/17/24)
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  • Clinical Appeals Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Clinical Appeals and Analysis **Equal Employment Opportunity** ... all lines of business. Ensures quality management of the clinical appeal process to reduce the risk of State...goals resulting in the full and fair review of appeals and designed to achieve corporate objectives and advance… more
    CareFirst (08/20/24)
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  • Youth Corrections Medical Operations Coordinator…

    State of Colorado (Denver, CO)
    …Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules. Supplemental ... of the department's action. For more information about the appeals process, the official appeal form, and how to...How many years of experience do you have as Nurse Manager, or Clinical Supervisor? + 2… more
    State of Colorado (07/29/24)
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  • Registered Nurse I-$14,000 Sign On BONUS…

    State of Colorado (Denver, CO)
    …assigning responsibilities. During specific shifts, functions in the role of Charge Nurse and provides clinical and administrative supervision of nursing staff ... assuring timely completion of work, providing clinical leadership and teaching clinical interventions. Functions as the Charge Nurse , when assigned, and… more
    State of Colorado (07/17/24)
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  • Charge Nurse RN II - CO Mental Health…

    State of Colorado (Denver, CO)
    …Rules and Personnel Director's Administrative Procedures , Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules. Supplemental ... Charge Nurse RN II - CO Mental Health Hospital...coordinates and implements medical and psychiatric crisis intervention in clinical emergencies assuring compliance with nursing standards and policies/procedures.… more
    State of Colorado (06/26/24)
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  • Nurse II - Marvin Foote - Englewood - Temp…

    State of Colorado (Arapahoe County, CO)
    …Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules. Supplemental ... NURSE II - Marvin Foote - Englewood -...Position. This position is responsible for the direction and clinical supervision of all Nursing and Health Care Technician… more
    State of Colorado (09/10/24)
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  • CDOC Nurse Supervisor

    State of Colorado (CO)
    …CAA Nurse III 2/2024 Department Department of Corrections Division Clinical and Correctional Services Opening Date 02/08/2024 Closing Date 12/31/2024 4:00 PM ... CDOC Nurse Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4383689) Apply  CDOC ...Personnel Director's Administrative Procedures , Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under… more
    State of Colorado (07/04/24)
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  • CDOC Registered Nurse ( Nurse I)

    State of Colorado (CO)
    …Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules. Supplemental ... CDOC Registered Nurse ( Nurse I) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4555045) Apply  CDOC Registered Nurse ( Nurse I)… more
    State of Colorado (06/28/24)
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  • CDOC Registered Nurse - Part-time

    State of Colorado (Denver, CO)
    …Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules. Supplemental ... CDOC Registered Nurse - Part-time - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4646255) Apply  CDOC Registered Nurse -… more
    State of Colorado (09/05/24)
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  • CDOC Licensed Practical Nurse

    State of Colorado (Sterling, CO)
    …Rules and Personnel Director's Administrative Procedures , Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules. Supplemental ... CDOC Licensed Practical Nurse -- Sterling Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4600127) Apply  CDOC Licensed Practical Nurse --… more
    State of Colorado (09/12/24)
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  • Registered Nurse I - Division of Youth…

    State of Colorado (Pueblo, CO)
    …and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes , atspb.colorado.govunder Rules. Supplemental Information Link ... Registered Nurse I - Division of Youth Services, Pueblo...shift offered. We have multiple openings. Specific Job Duties: Clinical Duties: Ensures the provision of patient care is… more
    State of Colorado (09/04/24)
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  • Family Nurse Practitioner (FNP) Program…

    Thomas Edison State University (Trenton, NJ)
    …and faculty deployment. -Respond to student concerns to resolve conflicts, appeals , and disputes /grievances. -Assist with preparation of self-study report ... **Family Nurse Practitioner (FNP) Program Director** **D30** Thomas Edison State University was founded in 1972 to break down barriers to degree completion. Fifty… more
    Thomas Edison State University (07/23/24)
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  • Lead Mid Level Provider - Spring Creek Youth…

    State of Colorado (Colorado Springs, CO)
    …and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes , atspb.colorado.govunder Rules. Supplemental Information How ... of health care including physical, psychiatric, and dental maintenance. Clinical Management: Functions as the facility responsible health authority (RHA).… more
    State of Colorado (09/18/24)
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  • Mid Level Provider (Part Time) - Grand Mesa YSC

    State of Colorado (Grand Junction, CO)
    …and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes , atspb.colorado.govunder Rules. Supplemental Information Link ... health care including physical, psychiatric, and dental maintenance. Job Duties: Clinical Assessment: Detect and prevent the spread of communicable infectious… more
    State of Colorado (06/26/24)
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  • CDOC Certified Nurses Aide (CNA) / Medication…

    State of Colorado (Denver, CO)
    …Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules. Supplemental ... but not limited to, the following: + In a clinical setting, assist patients with activities of daily living...Obtains and records vital signs for review by staff nurse ; + Provide and assist with patient transfers and… more
    State of Colorado (09/13/24)
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  • RN I - Full Time & Part-Time - Rifle VCLC

    State of Colorado (Rifle, CO)
    …Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules. Supplemental ... Assessment: + Performs both admission and daily assessments during clinical stay, identifying critical stay, identifying critical incidents, emergencies, acute… more
    State of Colorado (08/02/24)
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  • Mental Health Clinician I/ Fort Logan Nursing

    State of Colorado (Denver, CO)
    …Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules. Supplemental ... duties. This position works under the supervision and direction of a registered nurse and assists with psychiatric nursing care of mentally ill patients; observes,… more
    State of Colorado (09/11/24)
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  • Client Care Aide I- Cmhhip Fixed Pool

    State of Colorado (Pueblo, CO)
    …Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules. Supplemental ... and therapeutic interventions under the supervision of a registered nurse . The Client Care Aide I provides nursing care...on an on-going basis. Duties in this position include: Clinical Skills: + responsible for administering nursing care, both… more
    State of Colorado (09/19/24)
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  • RN II - Adolescents Behavior Treatment Unit…

    State of Colorado (Pueblo, CO)
    …Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules. Supplemental ... more FTE's on a continuous basis as well as clinical supervision of all nursing staff during a specific...and governing bodies while working in conjunction with the Nurse Manager . Unit nursing staff is notified promptly… more
    State of Colorado (07/16/24)
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