1 - 10 of 225

licensed medicare appeals nurse consultant jobs


  • Clinical Case Manager / PRN

    HCA Healthcare

    - El Paso , TX

    appeals rights communication to applicable Medicare patients within indicated time frame ... REQUIRED EDUCATION/EXPERIENCE: (Required) Registered Nurse or Licensed Vocational Nurse wi...

    17 days ago from HCA Healthcare
  • RN Coder/ Medical Review Specialist

    All Med Search

    - New York City , NY

    Medical Review Nurse-Coder For more information and to apply, please send your resume (in ... training. * Maintain a current knowledge of Medicare and Commercial regulations, policies...

    30+ days ago from HealthJobsNationwide.com
  • Utilization Management RN Coordinator

    Kaiser Permanente

    - Portland , OR

    service skills- Knowledge of Medicare and Medicaid regulations related to eligibility requirements: hospital, nursing facilities, home health and hospice eligibility...

    29 days ago from Kaiser
  • Utilization Review Nurse - Full Time - Utilization Management

    Alaska Native Tribal Health Consortium

    - Anchorage , AK

    regulations as set forth by The Centers for Medicare Medicaid Services. Skill in ... experience. ADDITIONAL REQUIREMENTS Must be licensed as a Registered Nurse by the State...

    30+ days ago from HealthJobsNationwide.com
  • Medical Review Nurse - Coder

    All Med Search

    - San Antonio , TX

    Medical Review Nurse-Coder For more information and to apply, please send your resume (in ... training. * Maintain a current knowledge of Medicare and Commercial regulations, policies...

    30+ days ago from HealthJobsNationwide.com
  • Appeals Nurse Health Plans

    NEW

    Tenet Health

    - Arizona

    appeals for all lines of business. Appeals Nurse will also support provider appeals, ... Director to review enrollee appeals, provider claim appeals, and claim disputes. •...

    1 day ago from Nurse.com
  • Clinical Appeals Coordinator - UPMC Health Plan

    University of Pittsburgh Medical Center

    - Pittsburgh , PA

    necessary provider and Medicare member appeals. The functions include reviewing ... based on medical necessity to CMS for Medicare member appeals. The compliance and...

    14 days ago from University of Pittsburgh Medical Center
  • RN Nurse Appeals

    Anthem

    - Iselin , NJ

    with trusted and caring solutions. *RN Nurse Appeals - Iselin, NJ 99865* Responsible for ... **Title:** *RN Nurse Appeals - Iselin, NJ 99685* **Location:** *NJ-Iselin*...

    30+ days ago from Anthem, Inc
  • Grievances and Appeals Manager

    Magellan Health Services

    - Brooklyn , NY

    standards and proper procedures for appeals resolution are consistent with ... helpful **Title:** *Grievances and Appeals Manager* **Location:** *NY-Brooklyn...

    30+ days ago from Magellan Health Services
  • NEW! Nurse Consultant

    NEW

    North Carolina Department of Public Instruction

    - Wake County , NC

    Title: Nurse Consultant Working Title: Nurse Consultant Position Number: 60042699 ... provided by nursing facilities. The Nurse Consultant assures LTSS operates in...

    14 hours ago from North Carolina Department of Public...
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