- Evolent (Washington, DC)
- …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 ... as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to… more
- Intermountain Health (Washington, DC)
- …requests and/or review of denials to ensure medical necessity, payer policies, appeals and reconsideration needs. Promotes the quality and cost effectiveness of ... prior authorization, pre-determination and/or dispute denials via retro authorization, appeals or reconsiderations related to no authorization denials + Perform… more
- Trinity Health (Silver Spring, MD)
- …for premium compensation and maximum flexibility? Explore FirstChoice - Trinity Health's nurse staffing solution! FirstChoice RNs are utilized to fill short and ... and Family Centered Care Quality Improvement Organization for patient discharge appeals in accordance with Medicare Conditions of Participation and within… more