and other attending healthcare professionals. Act as a consultant to external health care personnel about clinical apheresis. Assess... a difference by volunteering in a position that appeals to you and allows you to use your unique skills and talents. The Red Cross...
and grievances that are the result of either a preservice, post-service or claim denial. The Medi-Cal Appeals and Grievances RN... Senior will report to the Appeals and Grievances Manager. In this role you will perform accurate and timely clinical review...
together. We currently seek an experienced RN with solid interpersonal skills to join our team. The chosen Clinical Appeals... RN would be responsible for reviewing appeals and grievances to determine if the appropriate care was given. In providing...
between $63,100.00 - $78,875.00/ based on experience The RN Clinical Appeals performs all appeals for clinically related claim denials across Ensemble... Health Partners. Role also may assist with analyzing and reviewing records to prevent future denials, provide clinical...
and provide coverage for the Appeals & Grievances in Clinical Claims Review. You’ll enjoy the flexibility to work remotely... be interested in. Required Qualifications: Current, unrestricted RN license for the state of Nevada 5+ years of clinical...
between $56,800.00 - $108,900.00 based on experience The RN Clinical Appeals performs all appeals for clinically related claim denials across Ensemble... Health Partners. Role also may assist with analyzing and reviewing records to prevent future denials, provide clinical...
initial assessment review of appeals, medical records, and CMS/State Policies to determine if care/services provided meets... Clinical nursing judgment assessment and critical thinking skills, guided by regulatory policy, to make decision...
together. As a Clinical Appeals RN for UHC Clinical Services, you will work on post-service appeals for Medicare-based claims... Responsibilities: Review provider post-service appeals for Medicare and Retirement Gather clinical information including medical...
together. Welcome to a challenging yet fulfilling way to help improve the lives of our members. The Clinical Appeals RN... reviews member appeals denied at the utilization review level. You will communicate with members, utilize clinical guidelines...
together. As a Clinical Appeals RN for UHC Clinical Services, you will work on post-service appeals for Medicare-based claims... Responsibilities: Review provider post-service appeals for Medicare and Retirement Gather clinical information including medical...
perspective on workplace flexibility. Position Purpose: Performs clinical reviews needed to resolve and process appeals... to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices Performs...
for coordinating clinical appeals/grievances and complaints for Behavioral Health, reporting, monitoring, scheduling and facilitating... appeals according to various regulatory requirements. Analyzes appeals data, determines appeals decisions or prepare cases...
for appealing all inappropriate denials through all possible levels of the appeal process. The RN Clinical Appeals Nurse.... This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse...
for appealing all inappropriate denials through all possible levels of the appeal process. The RN Clinical Appeals Nurse.... This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse...
for appealing all inappropriate denials through all possible levels of the appeal process. The RN Clinical Appeals Nurse.... This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse...
with a strong mission to serve our community, we invite you to apply! Clinical Appeals Liaison Nashville, Tennessee Req ID 530206 Post... if the denial was justified Prepare comprehensive appeals packages including detailed clinical narratives and necessary...
. Managed Resources is an Equal Opportunity Employer (EOE) M/F/D/V/SO clinical appeals, denials, RN, management...Clinical Appeals Manager Full time/Remote Salary: $88,000.00 - $110,000.00 per year Managed Resources is a leading...
Clinical Appeals and CDI Specialist Full time & Part time/Remote $32 - $45 per hour Coding AID, a division... The Clinical Appeals and CDI Specialist uses clinical/nursing knowledge and understanding of national coding guidelines...
Job Description: The Clinical Appeals Specialist completes research, basic analysis, and evaluation of member... and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Specialist utilizes clinical skills...
JOB Title: Nurse, Clinical Appeals-- Hiring Now! 5+ Roles to be filled IMMEDIATELY! Job Description: The... Clinical Appeals Specialist completes research, basic analysis, and evaluation of member and provider disputes regarding...