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Clinical Pharmacist
CVS Caremark - Pittsburgh, PA
Responsible for reviewing clinical coverage determinations and appeals, maintaining ... Part D Experience Preferred Qualifications Clinical pharmacy knowledge. Data review.
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RAC Case Manager
OhioHealth - Columbus, OH
of an assigned population, coordinating clinical documentation, drafting appeal ... Clinical expertise in a care setting with background in case management appeals and denial...
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Appeals & Grievance RN Clinical Specialist II - TELECOMMUTING OPTION! (Woodland Hills
Health Net - Los Angeles, CA
Health Net, Inc. is a publicly traded managed care organization that delivers managed health care services through health plans and government-sponsored managed care plans. Its...
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Appeals Coordinator
Butler Memorial Hospital - Pittsburgh, PA
Appeals Coordinator FT The Appeal Coordinator is an integral part of the Corporate ... communicate with physicians and clinical staff to obtain necessary clinical...
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Member Appeals Manager
Care1st Health Plan of Southern California - Monterey Park, CA
Park, CA office location: MEMBER APPEALS MANAGER Responsible for providing daily ... clinical review of issues related to member appeals within required timeframes.
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Clinical Nurse - Utilization Management
Quarterline - Albuquerque, NM
United States. We are currently seeking a Clinical Nurse Utilization Manager at ... review or in broad-based clinical nursing. -Certification. Certified...
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Registered Nurse - Appeals Specialist
Nurse Resolutions - San Antonio, TX
the Appeals Committee regarding health plan appeals issues. In addition, the Appeals ... 407.982.7508. Fax www.nurseresolutions.com appeals specialist, appeals, case manager,...
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Clinical Appeals Manager - LPN/RN and CPC
HCA Healthcare - Tennessee
Business Performance Group seeks a Clinical Appeals Manager for the Physician Service ... Center, located in Brentwood, TN. The Clinical Appeals Manager oversees activities...
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Clinical Appeals Manager - CPC and LPN/RN Required - new
Corpus Christi Medical Center - Tennessee
Business Performance Group seeks a Clinical Appeals Manager for the Physician Service ... Center, located in Brentwood, TN. The Clinical Appeals Manager oversees activities...
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Clinical Appeals Manager - LPN/RN and CPC
CJW Medical Center - Tennessee
Business Performance Group seeks a Clinical Appeals Manager for the Physician Service ... Center, located in Brentwood, TN. The Clinical Appeals Manager oversees activities...
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