- The Cigna Group (Nashville, TN)
- Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst We will depend on you to communicate some of our most critical information to the ... and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of Appeals ...+ Education: Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) + 3-5… more
- The Cigna Group (Nashville, TN)
- …and policies. + Work with all matrix partners to ensure accurate and timely processing of Medicare Appeals . + Read Medicare guidance documents report and ... issues escalated from more junior team members. Requires a RN . This position is full-time (40 hours/week) with the...not limited to:** + Must have experience in Medicare Appeals , Utilization Case Management or Compliance in Medicare Part… more
- US Tech Solutions (Columbia, SC)
- …the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) **About US Tech ... will be provided. + Prefer 2 yrs. UM and/or appeals experience. We want to see all candidates with...+ Required Skills and Abilities: Working knowledge of word processing software. Ability to work independently, prioritize effectively, and… more