- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process ... and serves as a resource for associates within the Clinical Appeals and Analysis unit. **ESSENTIAL FUNCTIONS:**...Demonstrated leadership skills. In Lieu of Education. **Licenses/Certifications:** + RN - Registered Nurse -… more
- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Supervisor ** , you will ... guidelines. **Here's what you will experience working as a Clinical Coding Appeals Supervisor :** +...meetings on a routine basis. **Required Skills:** + Active Registered Nurse license + Active AHIMA or… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- State of Colorado (Golden, CO)
- Registered Nurse I, RN I - Campus at Lookout Mountain, Youth Services Center - Golden Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4874223) Apply Registered Nurse I, RN I - Campus at Lookout Mountain, Youth Services Center… more
- State of Colorado (CO)
- CDOC Registered Nurse ( Nurse I) Print...RN license. 07 Do you possess an active RN license issued by an Enhanced Nurse Licensure ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4762850) Apply CDOC Registered Nurse ( Nurse I) Salary $7,442.00 Monthly Location Statewide,… more
- State of Colorado (Sterling, CO)
- CDOC Registered Nurse - Part-time - Sterling Print...Yes + No 06 Do you possess an active RN license issued by an Enhanced Nurse Licensure ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4756062) Apply CDOC Registered Nurse - Part-time - Sterling Salary...Colorado? If so, what state issued your license? 07 Nurse Licensure Compact: If appointed to an RN… more
- State of Colorado (Denver, CO)
- Registered Nurse I-$14,000 SIGN ON BONUS Colorado Mental Health Hospital in Fort Logan-Denver Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4845698) Apply Registered Nurse I-$14,000 SIGN ON BONUS Colorado Mental Health Hospital in Fort… more
- Select Medical (O'Fallon, MO)
- …and valid state licensure or eligibility for state licensure as a Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Language Pathologist ... Louis, MO New Location Opening quarter 1 of 2025 ** Clinical Navigator ( RN , OT, PT, or SLP)**...Obtaining insurance approvals and authorizations, as well as facilitating appeals for patients + Demonstrates positive referrer satisfaction and… more
- State of Colorado (Denver, CO)
- …Health Facilities and Emergency Medical Services Division and Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state ... RN Health Compliance Inspector, Home Care Services HFEMS...years of experience and Current, valid licensure as a Registered Nurse from the Colorado Board of… more
- State of Colorado (CO)
- CDOC Nurse Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4764859) Apply CDOC Nurse Supervisor Salary $8,204.00 - ... Delta, Denver, Limon, Pueblo, Rifle, Sterling and Trinidad). The Nurse III ( Nurse Supervisor ) position...Applicant must possess a current, valid license as a Registered Nurse from the Colorado Board of… more
- State of Colorado (Grand Junction, CO)
- …related to the work assigned to this position and Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in ... GRAND JUNCTION, CO Health Compliance Inspector RN , Nursing Facilities - (HP III FAA00144) Print...field of study. and Current, valid licensure as a Registered Nurse from the Colorado Board of… more
- Hackensack Meridian Health (Edison, NJ)
- …and/or Google Suite platforms. **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License or NJ Licensed Social Worker or NJ ... functions and performance improvement activities for all care managers. The ** Supervisor , Care Management** is accountable for oversight of the department's… more
- Hackensack Meridian Health (Brick, NJ)
- …and/or Google Suite platforms. **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License or NJ Licensed Social Worker or NJ ... management functions and performance improvement activities within the department. The Supervisor , Care Management is accountable for oversight of the department's… more
- State of Colorado (Pueblo, CO)
- …exists to deliver nursing care and therapeutic interventions under the supervision of a registered nurse . The Client Care Aide II (CCA II) provides nursing care, ... Reports any claims of any type of harassment/workplace violence, alerts public safety/charge RN /Lead Nurse /and nursing appointing authority. + Arrives to work on… more
- City and County of San Francisco (San Francisco, CA)
- …be required. ** Under the direction of a licensed physician, registered nurse , or clinical supervisor , the Psychiatric Technician performs responsible ... observes patients' condition and behavior; reports significant changes to supervisor or physician and documents care and/or treatments in...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- Apex Health Solutions (Houston, TX)
- …of Nursing) Licenses/Certifications: Current, unrestricted Texas licensure to practice as a Registered Nurse or Licensed Vocational Nurse required and ... carrying out day today pre-authorization functions. The Utilization Review Nurse will also be responsible for issuing pre-authorization approvals/denials, notifying… more
- State of Colorado (Colorado Springs, CO)
- …+ 1 - 2 years + Less than a year 03 How many years of experience do you have as clinical supervisor ? + 2 or more years + 1 - 2 years + Less than a year 04 How ... of health care including physical, psychiatric, and dental maintenance. Clinical Management: Functions as the facility responsible health authority (RHA).… more