- VNS Health (Manhattan, NY)
- …the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals ( RN )to lead the daily operations of our ... grievance and appeals processes. You will play a crucial role in...+ License and current registration to practice as a registered professional nurse in New York State… more
- Elevance Health (Norfolk, VA)
- ** Manager II Grievance / Appeals ( RN )- Claims Support** **Location** : This position will work in a hybrid model (remote and office). Ideal candidates will ... one of our PulsePoint locations. Expected Work Hours: Monday-Friday; 8AM-5PM EST The ** Manager II Grievance / Appeals ** is responsible for management oversight… more
- Elevance Health (Walnut Creek, CA)
- ** Nurse Appeals - Licensed RN Nurse ** **Location:** This position will work in a hybrid model (remote and office). Ideal candidates will live in the ... our PulsePoint locations. **Shift:** Monday to Friday from 8:00am-5:00pm **PST** The ** Nurse Appeals ** is responsible for investigating and processing medical… more
- The Cigna Group (Nashville, TN)
- …duties as assigned. Qualifications + Education: Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) + 3-5 years' experience in Medicare Advantage ... related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/ Manager of Appeals and will coordinate and perform all appeal… more
- ERP International (Nellis AFB, NV)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Utilization Managers** for full-time positions in support of theMike O'Callaghan Military ... collect clinical data from inpatient and outpatient sources; provide documentation for appeals or grievance resolution; apply critical thinking skills and… more
- HCA Healthcare (Rochester, NH)
- …set us apart from any other healthcare provider. We are seeking aCase Manager to join our healthcare family. **Benefits** Frisbie Memorial Hospital, offers a total ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...passion for patient care. Apply today for our Case Manager opportunity. **Job Summary and Qualifications** The Case … more
- State of Colorado (Canon City, CO)
- …statement. 04 Do you possess a valid, active license from the State of Colorado as a Registered Nurse or Nurse Practitioner? + Yes + No 05 Enter your ... informal level; + Ensures staff compliance with the offender grievance process, offender co-pay, electronic data entry, and information...Colorado Registered Nurse or Nurse Practitioner… more