There are over 680 appeals nurse careers waiting for you to apply! 224. Expected hours: 40 per week. Schedule: Holidays. Posted 30+ days ago ·. Toney HealthCare Consulting, LLC3 Remote Full-time +1 Monday to Friday +1 Denial & Appeals Coordinator, RN. ZipRecruiter estimates are based on pay from similar jobs (in similar areas), may change over time, and may not be indicative of pay for the position. Utilization Review Nurse, Quality & Appeals. All titles Primary Care Physician (37) Medical Assistant (16) Nurse Practitioner (15) Nurse Case Manager (14) Family Medicine Physician (12) LVN (9) Utilization Review Coordinator (8) Digital Content Marketing Manager (5) Medical Director (5) Nurse Consultant (4) Utilization Review Nurse (4) Social Work Assistant (3) Appeals Specialist (3. Responds to inquiries from OIG staff, leadership, providers, and legislative entities on the reviews and appeals process. US Veterans Health Administration $103,395 - $264,000 a year Ensure compliance with established third-party payer criteria for reimbursement and appeal of clinical denials. Weekends as needed +1 The Dialysis Program Manager is independently responsible for directing, organizing, and developing the hospitals' hemodialysis program. $150,000 - $180,000 a year Identify and secure affiliation agreements with clinical sites and coordinate placements at clinical sites. US Veterans Health Administration. View similar jobs with this employer. $150,000 - $180,000 a year Identify and secure affiliation agreements with clinical sites and coordinate placements at clinical sites. Here's a breakdown of the average pricing information. Pay: $85,000 - $100,000 Responsible for utilizing clinical acumen, medical coding, and managed care expertise related to researching, resolving and recouping pre- and post-payment over utilization, fraud, waste and abuse. Registered Nurse (RN) - School Clinic Cheektowaga, NY 1422708 - $35 Full-time25 hours per week. Remote in Frisco, TX85 - $46 Ability to interact intelligently and professionally with other clinical and non-clinical partners. Responsible for the review and resolution of clinical appeals. Clinical Appeals Nurse jobs in Wfh. Get the right Appeal nurse job with company ratings & salaries. Posted 19 days ago ·. Lebanon, PA00 - $55. inter latin v12 normal 400.woff2 Leverage your professional network, and get hired. View all Blue Shield of California jobs in El Dorado Hills, CA - El Dorado Hills jobs - Registered Nurse jobs in El Dorado Hills, CA Senior Clinical Admin Nurse - Remote Remote in Phoenix, AZ 85001. 13 Appeals Nurse jobs available in Leno, FL on Indeed Apply to Registered Nurse, Registered Nurse - Home Health, Nurse Manager and more! Clinical Appeals Nurse New York, NY. Hybrid work in Phoenix, AZ 8500880 - $155,126 Full-time. About the role and team: Our Philanthropy Lead will join an established Major Gifts team, who collectively raise in excess of £5m+ a year. Search Appeals nurse jobs in Toronto, ON with company ratings & salaries. Mary Immaculate Health/Care Services 3 Lawrence, MA 01841. Appeal Nurse Manager jobs in Remote. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. $66,240 - $88,456 a year In collaboration with Alliance Appeals & Grievances, participates in mediation and appeal processes, as needed. Remote in Frisco, TX85 - $46 Ability to interact intelligently and professionally with other clinical and non-clinical partners. Clinical Coding Appeals Nurse Remote41 - $106,374 Full-time. HHS agencies use E-Verify. 30 Clinical Appeal Nurse jobs available in Charlotte, NC on Indeed Apply to Clinical Nurse, Mds Coordinator, Certified Registered Nurse Anesthetist and more! Clinical nurses provide nursing care and manage a comprehensive range of tasks related to patient treatment, with the patient's safety and well-being as the primary priorities. Hybrid work in Kapolei, HI … 21,544 Remote Clinical Appeals Nurse Jobs. Registered Nurse (RN) - School Clinic Cheektowaga, NY 1422708 - $35 Full-time25 hours per week. clinical appeals nurse jobs. Toney HealthCare Consulting, LLC 3 Remote Full-time +1 Monday to Friday +1 Review requests and appeals in accordance with local, state, and federal regulatory. Florida Health Care Plans, Inc. Job Title: Registered Nurse Assessment Coordinator (RNAC)/MDS Coordinator. Clinical Appeals and Grievances Nurse. Monday to Friday + 2. $150,000 - $180,000 a year Identify and secure affiliation agreements with clinical sites and coordinate placements at clinical sites. utilization review nurse appeals rn. xix xxix Posted 12 days ago ·. Remote in Kansas. Find job opportunities near you and apply! Utilization Review Nurse - LTSS. San Diego, CA $2,32000. 000000 Bargaining Unit: ACE Associates Exempt from Overtime: Exempt: Yes Work S. The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in…. Utilization Review Nurse - RN (Part Time) Curative HR LLC $43 - $45 an hour Easily apply. Clinical Review Nurse (RN) Children's Healthcare of Atlanta —Brookhaven, GA4 Provides clinical information to insurance companies as needed for completion of pre-certification process as noted in Children's Healthcare of Atlanta…6K - $95 For Fidelis Care only: NYS RN license required97 - $46 Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Remote in Phoenix, AZ 85001. Review graduate student petitions for admissions, transfer credit, and academic appeals. Medical Director, Part-Time (Remote) Maximus Services, LLC. See salaries, compare reviews, easily apply, and get hired. Whether you need extra money to cover bi. Sort by: relevance - date CLINICAL REIMBURSEMENT COORDINATOR - RN Fairview Commons 3 Great Barrington, MA 012305K - $102K a year Easily apply. garden stones lowes Provide information as requested for Additional Documentation Request (ADR) and appeals as appropriate. Hybrid work in Morrisville, NC 27560. The purpose of the clinical liaison nurse is to help individuals live their lives to…. Remote in Sacramento, CA 9583106 - $45 Full-time Assists Medical Director with CCS appeals as applicable. Medical Director, Part-Time (Remote) Maximus Services, LLC. 33 Clinical Appeals Nurse jobs available in Florida on Indeed Apply to Utility Manager, Registered Nurse, Document Specialist and more! Inaugural Program Chair, Nurse Anesthesiology Program (Remote) Antioch University. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and… Utilization Review Nurse, Quality & Appeals. Sort by: relevance - date RN Clinic Access - Telephone Triage - Per Diem - Remote Remote in San Diego, CA 92121. You will use clinical knowledge, judgment, and established criteria to determine the medical appropriateness of healthcare services, including inpatient and lower level of care admissions, and a variety of. Registered Nurse - Revenue Utilization Review. Coral Gables, FL 3314680 - $113,311 Consults with attending physician, physician advisor, and case managers to formulate secondary appeals and written formal appeals using appropriate medical…. Posted 9 days ago ·. Clinical Coding Appeals Nurse Remote41 - $106,374 Full-time. View similar jobs with this employer. $81,900 - $136,500 a year Candidates will play the primary role in escalated issue resolution, and will be able to educate others on the clinical utilization review process, denial and… Utilization Review Nurse - RN (Part Time) Curative HR LLC $43 - $45 an hour Easily apply. $85,000 - $106,300 a year Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Torrington, CT 06790. $58,300 - $114,300 a year Monday to Friday. Bachelors or better in Nursing Therapeutic Apheresis Nurse Specialist (RN) This position is a unique opportunity to provide 1-on-1 care to patients in a specialty area (Therapeutic Apheresis).

22 Appeals Nurse jobs available in Iowa on Indeed Apply to Travel Nurse, Field Nurse, Utility Manager and more! The UR Appeals nurse is responsible for the investigation and review of clinical appeals and post-claim cases requiring clinical review. New appeals and medical review rn careers in california are added daily on SimplyHired The low-stress way to find your next appeals and medical review rn job opportunity is on SimplyHired. They perform initial assessments, document medical history and vital statistics, verify accuracy of information in records, and ensure all medical orders are followed. 1d. Once a person earns their nursing degree, the next question they usually have is where they can get a job While the nursing field is on the rise, there are some specialties that ar. 3+ years’ experience in clinical nurse setting preferred. Primary responsibility but not limited to- follow up on outstanding appeals at 30, 45, 60, and 75 intervals. esri youtube Toney HealthCare Consulting, LLC3 Remote Full-time +1 Monday to Friday +1 Denial & Appeals Coordinator, RN. Typically responds within 2 days. The Care Coordinator RN will work under the director of the department to…. There are many routes nurses can take, including. PUBLIC HEALTH NURSING CONSULTANT 2 - 06252024-59123 Hybrid work in Nashville, TN 37203. Pay: $85,000 - $100,000 Responsible for utilizing clinical acumen, medical coding, and managed care expertise related to researching, resolving and recouping pre- and post-payment over utilization, fraud, waste and abuse. $66,240 - $88,456 a year In collaboration with Alliance Appeals & Grievances, participates in mediation and appeal processes, as needed. A Clinical Appeals Nurse can expect to earn an average salary of $73,367 (USD) per year. kitsap county breaking news today Clinical Denials & Appeals Registered Nurse - job post 3 2100 Stantonsburg Road, Greenville, NC 2783540 - $98,092 56 Clinical Appeals Nurse jobs available in North Carolina on Indeed Apply to Registered Nurse, Senior Care Manager, Clinical Nurse and more! Inaugural Program Chair, Nurse Anesthesiology Program (Remote) Antioch University. Aveanna Healthcare River Rouge, MI Full-Time. A clinical appeals nurse regularly uses specific skills while on the job to help connect patients with the care they need. If you're getting irrelevant result, try a more narrow and specific term. They perform initial assessments, document medical history and vital statistics, verify accuracy of information in records, and ensure all medical orders are followed. 1d. Pleasant Valley Manor 3 Stroudsburg, PA 1836025 an hour Day shift + 1 Completes all insurance appeals in a timely fashion. Primary responsibility but not limited to- follow up on outstanding appeals at 30, 45, 60, and 75 intervals. 12 Appeals Nurse jobs available in N Falmouth, MA on Indeed Apply to Registered Nurse, Labor and Delivery Nurse, Registered Nurse Case Manager and more! appeal nurse jobs. how to use voice chat in euro truck simulator 2 multiplayer 15 Clinical Appeals Nurse jobs available in Maryland on Indeed Apply to Utilization Review Nurse, Clinical Supervisor, Auditor and more! Revenue Cycle Appeals Registered Nurse - Remote. Job Title: Utilization Review Specialist. ( Lazybrook - Timbergrove area) $3349 an hour Communicates with the CMO/VPMA regarding appeals and obtain signature for appeals. The Clinical Appeals Nurse will review each case identified/referred for…. Posted 3 days ago ·. , The Cigna Group, Hill Physicians Medical Group, Christus Health, Centers Plan for Healthy Living, L Care Health Plan, Blue Cross Blue Shield of Arizona, CARENATIONAL HEALTHCARE SERVICES, LLC, David-James RN Appeals and Grievances / Quality of Care.

Coral Gables, FL 3313480 - $113,311 Consults with attending physician, physician advisor, and case managers to formulate secondary appeals and written formal appeals using appropriate medical…. Refers appropriate cases to external agency (NCO) for second level of appeal. Canadian Travel Nurses $36-$58 an hour Day shift + 3 The city's dedication to community development, cultural amenities, and recreational opportunities contribute to its appeal, making it an attractive destination…. Active 5 days ago ·. Some nurses, particularly those who work in the public health and epidemiology fields, also use statistics With a nationwide shortage of nurses, many young adults, as well as older professionals interested in a career change, are choosing to pursue a career in nursing Are you considering a career in nursing but don’t have the time to commit to a traditional four-year program? A fast track nursing program might be the perfect option for you Nursing is an excellent career path if you’re interested in working in the healthcare industry and strive to provide quality care to patients. Remote Clinical Appeals Nurse jobs. 22 Appeals Nurse jobs available in Iowa on Indeed Apply to Travel Nurse, Field Nurse, Utility Manager and more! The UR Appeals nurse is responsible for the investigation and review of clinical appeals and post-claim cases requiring clinical review. 00 Per Hour (Employer est. Refers appropriate cases to external agency (NCO) for second level of appeal. Primary responsibility but not limited to- follow up on outstanding appeals at 30, 45, 60, and 75 intervals. Reviews provider appeals and redeterminations using approved clinical and coding guidelines and documents appeal determinations clearly and concisely. 00 Per Hour (Employer est. :root {--reach-menu-button:1;} Assist members with adverse determinations, including the appeal process. Job Type: PRN, Per Diem. Search 38 Clinical Appeals Nurse jobs now available on Indeed. Sort by: relevance - date Utilization Review (UR) Specialist. Hybrid work in Phoenix, AZ 8500880 - $155,126 Full-time. Use of MS Office Software Suite 39 Appeals Nurse jobs available in New York State on Indeed Apply to Registered Nurse, Case Manager, Nurse Assessor and more! Nurse Case Manager. View similar jobs with this employer. On call. Resume Resources: Resume Samples - Public Health Nurse (Community Health Services) Yakima Valley Farm Workers Clinic2 $3716 an hour - Full-time. wandj academic calendar PACT RNs use their skills to provide leadership, support, and education to other team members in…. Posted 30+ days ago. PUBLIC HEALTH NURSING CONSULTANT 2 - 06252024-59123 Hybrid work in Nashville, TN 37203. Updated June 2, 2023 • 0 min read thebestsc. Use established medical policy and guidelines to perform prospective, concurrent, and retrospective medical necessity review of post-acute care services. 11 open jobs for Clinical appeals nurse. Primary responsibility but not limited to- follow up on outstanding appeals at 30, 45, 60, and 75 intervals. Review graduate student petitions for admissions, transfer credit, and academic appeals. Toney HealthCare Consulting, LLC 3 Remote Full-time +1 Monday to Friday +1 Toronto, ON. Typically responds within 2 days Part-time Easily apply. 8 Appeals Nurse jobs available in Broadmead, OR on Indeed Apply to Registered Nurse, Clinical Supervisor, Travel Nurse and more! Nurse IV. 12 open jobs for Clinical appeals nurse in Remote. Registered Nurse Assessment Coordinator. The top companies hiring now for clinical appeals nurse jobs in Philippines are Sales Rain, Neolytix, Health Business Solutions LLC, Med Supply US, Carelon Global Solutions, PM Consulting, Access Healthcare, Access Healthcare Services Pvt Ltd, Visaya Knowledge Process Outsourcing (KPO) Corporation, Valenta BPO. Review and interpret medical records to appeal denied and underpaid claims. There is weekend and holiday rotation in the appeals department. Sort by: relevance - date Clinical Denials & Appeals Registered Nurse Greenville, NC 27835. $58,300 - $114,300 a year The Appeals Nurse will check the accuracy and thoroughness of their appeal prior to completing their case. 60 Appeal Nurse jobs available in Texas on Indeed Apply to Registered Nurse II, Registered Nurse - Infusion, Utilization Review Nurse and more! Utilization Insurance Specialist - Psychiatry - Rivington - Full Time/Days New York, NY 10002. Coordinates and directs clinical operations and related programs and directly supervises clinical support staff. Los Angeles, CA 90095. … Search Appeals nurse jobs. Utilization Review Nurse - RN (Part Time) Curative HR LLC $43 - $45 an hour Easily apply. Responded to 75% or more applications in the past 30 days, typically within 1 day. Posted 30+ days ago · PCS Assessor-Registered Nurse (Hybrid, Morrisville North Carolina Based) Alliance Health. yeahlink Millikan Way Max Station22 - $71 Full-time. Hiring multiple candidates0 $95,000 - $120,000 a year Monday to Friday +2 Clinical DRG downgrade denials and writing appeal letters: 3 years (Required). $78,000 - $130,000 a year Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness and intensity of services provided Private Duty Nurse RN. As our Clinical Coding Appeals Nurse , you will help review and interpret medical…. Able to make independent decisions when circumstances warrant such action. Hybrid work in Chicago, IL. Aveanna Healthcare River Rouge, MI Full-Time. People who searched for medical appeals nurse jobs in United States also searched for licensed practical nurse medication aide, certified clinical medical assistant, nursing simulation lab coordinator. If you're getting few results, try a more general search term. Medical Director, Part-Time (Remote) Maximus Services, LLC. When you join the WSIB, you’re part of a team that’s here to help. ZipRecruiter provides pay estimates when companies do not include pay in the job post. Posted 19 days ago ·. Sort by: relevance - date Nurse Assessor Hiring multiple candidates Hybrid work in Brooklyn, NY 11201 Full-time +1 Monday to Friday +5 Nurse Practitioner APRN APN NP - Critical Care. Utilization Management Specialist RN - Remote near Minneapolis, MN Registered Nurse (RN) with an active, unrestricted RN license in the state of MN. RN Clinical Nurse II-Cardiac ICU Chapel Hill, NC 2751475 - $37 Full-time + 1. Review graduate student petitions for admissions, transfer credit, and academic appeals. Search Clinical appeals nurse jobs in Remote with company ratings & salaries. This position may support UM, MPO, Coding, or Behavioral Health appeals. Posted 3 days ago ·. Autumn Lake Healthcare at Southgate Penns Grove, NJ $33 to $43 Hourly Join our wonderful team as an Weekend Nurse today! Autumn Lake Healthcare at Southgate is an exceptional team-oriented company hiring for Weekend Nurse ! We provide our staff with the resources. WINFertility did not pay my earned bonus Shock - This Fertility Benefits management company *did not* offer fertility benefits to its employees.