- Evolent (Hartford, CT)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals 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 Evolent and… more
- Hartford HealthCare (Farmington, CT)
- … appeals preferred. **Licensure, Certification, Registration** * Active Registered Nurse license from the State of Connecticut * Certified Clinical Documentation ... Key responsibilities include timely investigation of DRG downgrades, submitting appeals , coordinating follow-up actions and ensuring compliance with regulatory… more