• Clinical Denials Coordinator

    UNC Health Care (Goldsboro, NC)
    …licensure. Experience * Minimum 3-5 years of applied clinical experience as a Registered Nurse required. * 2 years utilization review, care management, or ... Summary: Coordinates and leads all clinical denial processes and clinical audit activities. Supervises and collaborates with teammates. Reviews all denial requests… more
    UNC Health Care (12/06/24)
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  • UM Reviewer

    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
    Apex Health Solutions (12/08/24)
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