R1 RCM - Remote

Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) medical license or be a registered nurse with strong appeals experience....

The Bay at Burlington - Burlington, WI

Registered Nurse (RN) (Required). Completes responses to request for additional information from the intermediary and appeals decision when necessary....

Estimated: $63,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Integrity Home Care and Hospice - O'Fallon, MO

Many of our nurses have provided care for the same families for years, with one on one care as a child grows, even into their adult years ....

Estimated: $37,000 - $51,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Integrity Home Care and Hospice - O'Fallon, MO

Many of our nurses have provided care for the same families for years, with one on one care as a child grows, even into their adult years ....

Estimated: $40,000 - $51,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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CareSource - Dayton, OH

§ Managed care, appeals, and Medicaid experience preferred. § Conduct monthly, quarterly, and ad hoc appeals reporting....

Estimated: $48,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Halifax Health - Daytona Beach, FL

Halifax Health is seeking a Clinical Appeals Nurse. The Clinical Appeals Nurse will play an active role in the Revenue Cycle by successfully performing the...

Estimated: $53,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Neighborhood Health Plan of Rhode Island - Smithfield, RI

Registered Nurse with an active, current, unrestricted license in Rhode Island in good standing. Research, review and facilitate documentation of Medicare...

Estimated: $53,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Shared Services - Richmond - Richmond, VA

Nurse - Clinical Appeals. The Clinical Appeals Nurse will handle appeals requiring clinical input or interpretation as well as, monitor insurance denials....

Arkansas Heart Hospital - Arkansas

Audit and Appeal:. The Clinical Appeals and Denials Nurse reviews, monitors and analyzes denials received from payors (Medicare, Commercial and Third Party) and...

Estimated: $50,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Memorial Hermann - Houston, TX

The nurse reviewed denied medical necessity claims from CMS:. This nurse also work closely with the campus and physician advisor in evaluating all medical...

Estimated: $51,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Christus Health - Santa Fe, NM

The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant...

Estimated: $68,000 - $85,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

St. Agnes Healthcare, MD - Halethorpe, MD

Networks with insurers to resolve those denial issues that can be managed successfully without appeal. Prior experience in denials and appeals, and knowledge of...

Estimated: $52,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Washington Hospital Center - Washington, DC

Technical writing ability for appeal letters and reports. Responsible for coordinating and monitoring the denial management and appeals process....

Estimated: $70,000 - $96,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

ProMedica - Maumee, OH

Appeals, including appeals, grievances, and regulatory. Licensed Professional Nurse (LPN) required. The Member Service Appeals and Grievance Coordinator....

Estimated: $38,000 - $52,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Blue Cross Blue Shield of Michigan - Detroit, MI

Registered Nurse with current unrestricted Michigan Registered Nurse license required. Analyze, research, respond to and prepare documentation related to...

Estimated: $54,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Moffitt Cancer Center - Tampa, FL

Lic Practical Nurse. Resolution of denials for medical necessity, utilization review, pre-certification, authorization and concurrent review, to include writing...

Estimated: $56,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

David-James LLC - Nottingham, MD

Nurse Auditor wanted …*. We are looking for a *_strong clinical or nurse auditor_*. The Nurse Auditor will participate in audits of Part C Organization...

Estimated: $48,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Chemistry Rx - Philadelphia, PA

Registered Nurse (RN) (Required). Nurse with Experience in Prior Authorizations and/or Specialty Pharmaceuticals*....

Estimated: $51,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Unum - Chattanooga, TN

The Appeals senior clinical consultant is responsible for reviewing, analyzing, and interpreting medical information in claims....

Estimated: $76,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

ATLANTIC REGION CBO - Richmond, VA

Perform QA for Clinical Appeals function. Manage daily activities related to the CBO’s Clinical Appeals function;...

Estimated: $59,000 - $80,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Allegheny Health Network - Erie, PA

Registered nurse who is proficient in the coordination of care and manages coordination of care in accordance with recognized standards of practice for Care...

Estimated: $57,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Allegheny Health Network - Jefferson Hills, PA

Registered nurse who is proficient in the coordination of care and manages coordination of care in accordance with recognized standards of practice for Care...

Estimated: $58,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Lifespan - Providence, RI

Bachelor’s degree in nursing (BSN) required, Masters preferred with current licensure to practice as a registered nurse within the State of Rhode Island, or in...

Estimated: $82,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Providence Health & Services - Everett, WA

Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA...

Estimated: $58,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Integrity Home Care and Hospice - St. Louis, MO

Many of our nurses have provided care for the same families for years, with one on one care as a child grows, even into their adult years ....

Estimated: $38,000 - $52,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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South Lake Hospital - Clermont, FL

Documentation is accurate, consistent, clear concise, timely and complete reflecting patient responses, outcomes related to nurse care received and....

Estimated: $56,000 - $81,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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