- Elevance Health (Tampa, FL)
- ** Nurse Appeals Associate II** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of ... one of our Elevance Health Pulse Point locations. The ** Nurse Appeals Associate II is** responsible for supporting the development and implementation of… more
- Elevance Health (Roanoke, VA)
- …clinicians and business leaders passionate about transforming American healthcare delivery. ** Nurse Appeals Associate ** **Location:** This position will ... 7:00 pm CST. Must be able to rotate on mandatory holidays. The ** Nurse Appeals Associate ** is responsible for supporting the development and implementation… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process for members ... the activities and serves as a resource for associates within the Clinical Appeals and Analysis unit. **ESSENTIAL FUNCTIONS:** + Provides direct supervision for the… more
- VNS Health (Manhattan, NY)
- …registered professional nurse in New York State required Education: + Associate 's Degree in Nursing required + Bachelor's Degree in Nursing preferred Work ... Health Plans is seeking a dedicated Manager, Grievance and Appeals (RN)to lead the daily operations of our grievance...(RN)to lead the daily operations of our grievance and appeals processes. You will play a crucial role in… more
- Access Dubuque (Dubuque, IA)
- Adjunct Instructor: Certified Nurse Aide (CNA) **Northeast Iowa Community College** 1 Positions ID: 63971 Posted On 03/19/2025 **Job Overview** To successfully ... (RNs) to serve as Adjunct Instructors for the Certified Nurse Aide (CNA) program. As a CNA Instructor, you...Must be approved by the Iowa Department of Inspections, Appeals , and Licensing (college will submit). * Clear criminal… more
- US Tech Solutions (Columbia, SC)
- …of professional, inpatient or outpatient, facility benefits or services, and appeals . Documents decisions using indicated protocol sets or clinical guidelines. ... OR, active compact multistate unrestricted LPN license as defined by the Nurse Licensure Compact (NLC), OR, active, unrestricted LBSW (Licensed Bachelor of Social… more
- Ascension Health (Baltimore, MD)
- …related to coding, medical records/documentation, precertification, reimbursement and claim denials/ appeals . + Assess and coordinate discharge planning needs with ... and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Maryland Board of Nursing obtained prior to… more
- Centene Corporation (Tacoma, WA)
- …expectations and lead clinical quality initiatives. Review clinical information for appeals to determine medical necessity of services, prepare reviews for cases, ... act as the liaison for appeals and fair hearings. + Develop and implement the...assigned + Complies with all policies and standards **Education/Experience:** Associate 's Degree in Nursing or other related field of… more
- Clark County, NV (Las Vegas, NV)
- …controlled substances. MINIMUM REQUIREMENTS Education and Experience: Equivalent of an Associate 's degree in Law Enforcement, Criminal Justice, or related area, AND ... retail or mail order fills) + 24/7 Telephone Advice Nurse - no employee cost + Teledoc, Doctoroo, and...semester credits) + Some College (90-120+ semester credits) + Associate 's Degree + Bachelor's Degree + Master's Degree or… more
- Clark County, NV (Las Vegas, NV)
- …Pharmacy Benefits (30, 90-day retail or mail order fills) + 24/7 Telephone Advice Nurse - no employee cost + Teledoc, Doctoroo, and Dispatch Health + Retiree ... semester credits) + Some College (90-120+ semester credits) + Associate 's Degree + Bachelor's Degree + Master's Degree or...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more