- Rush University Medical Center (Chicago, IL)
- …origin, disability, veteran status, and other legally protected characteristics. **Position** Appeal Specialist RN **Location** US:IL:Chicago **Req ID** ... and procedures. **Other information:** **Required Job Qualifications:** * Licensed, registered nurse in the State of IL...follows up on appeals throughout entire process to ensure appeal has resulted in an overturned denial or has… more
- St. Luke's University Health Network (Allentown, PA)
- …near vision, visual monotony. EDUCATION: Graduate of an accredited professional nursing program. Registered nurse with current license to practice in the state ... of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks… 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 (Denver, CO)
- CDOC Registered Nurse - Part-time - Denver 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/4829308) Apply CDOC Registered Nurse - Part-time - Denver Salary...Colorado? If so, what state issued your license? 07 Nurse Licensure Compact: If appointed to an RN… more
- City and County of San Francisco (San Francisco, CA)
- …At least one (1) year of experience working as a Registered Nurse SPECIALTY REQUIREMENTS: + Clinical Documentation Specialist (CCDS) certification + At least ... Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License (**IMPORTANT: Be sure to... License (**IMPORTANT: Be sure to include your California RN license number in the application, as failure to… more
- CaroMont Health (Gastonia, NC)
- …conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. Where warranted, the Appeals Specialist will write ... Job Summary: The Clinical Documentation and Denial Specialist will assist with development and execution of...with the best clinical outcomes possible. Provide physician and nurse education to achieve compliance with best practice and… more
- AdventHealth (Altamonte Springs, FL)
- …2 years utilizing InterQual and/or MCG . Minimum of three (3) years' experience as Registered Nurse ( RN ) in an acute clinical setting . Clinical experience ... and bring about the best opportunity for fair reimbursement. The Clinical Denial Management Specialist will adhere to the AHS Compliance Plan and to all rules and… more
- HonorHealth (Scottsdale, AZ)
- …1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required ... more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of...accredited NLN/CCNE institution Required Experience 3 years as a Registered Nurse in an acute care setting… more
- Ochsner Health (New Orleans, LA)
- …in Appeal /Denial Management **Certifications** Required - Current State of Louisiana Registered Nurse ( RN ) License Preferred - Certification in Case ... relates to all medical necessity audits. **Education** Required - Registered Nurse Diploma Preferred - Associate's or...experience in the delivery of patient care as an RN . Experience in Case Management, Utilization Review and/or Discharge… more
- Baptist Memorial (Memphis, TN)
- …assistance/continuing education + Employee referral program Job Summary: Position: 3484 - Specialist -Denial II RN Facility: BMHCC Corporate Office Department: HS ... for acute care inpatient Part A services to determine appeal action. Reports to the manager of the Denial...3-5 years case management or denial management experience. Minimum: RN , 5 years clinical experience in a clinical care… more