UnitedHealth Group-Pittsburgh, PA

Clinical RN with current licensure. Preferred experience with health plan Grievance and Appeals. Collaborate with appropriate department to document,...

Lincoln County Health System-Fayetteville, TNEstimated: $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.

RN:. Is partnering with Indeed Hire to find a \*full-time RN\*. A graduate of an accredited school of nursing, State of Tennessee RN licensure (or eligible),...

Excel MSO, LLC-San Jose, CAEstimated: $93,000 - $120,000 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.

RN:. Ensures delay, denial and termination of services are delivered timely and member and providers are notified of appeal rights....

Pulse Heart Institute-Tacoma, WAEstimated: $70,000 - $94,000 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.

Works as a Staff RN, providing specialized care, in clinics, hospitals as assigned. Participates in appeal process independently using in-depth knowledge of...

UnitedHealth Group-Philadelphia, PA

Clinical RN with current licensure. Preferred experience with health plan Grievance and Appeals. Collaborate with appropriate department to document,...

Cigna-Nashville, TNEstimated: $65,000 - $87,000 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.

The Appeals Reviewer reports to the Supervisor/Manager of Appeals and will coordinate and perform all appeal related duties in a Medicare Advantage Plan....

Blue Cross Blue Shield of Michigan-Southfield, MIEstimated: $55,000 - $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.

Analyze, research, respond to and prepare documentation related to retrospective review requests and appeals in accordance with local, state and federal...

Mission Health-Asheville, NC

Prepares clinical appeals in response to pre and post-pay medical necessity denials and assures appropriate action is taken within appeal time frames to address...

UnitedHealth Group-Boston, MA

Experience in appeals and / or prior authorization. Active, unrestricted RN license in the state of MA. Attending appeals hearings on a case to case basis....

UnitedHealth Group-Taunton, MA

Experience in appeals and / or prior authorization. Active, unrestricted RN license in the state of MA. Attending appeals hearings on a case to case basis....

UnitedHealth Group-Chelsea, MA

Experience in appeals and / or prior authorization. Active, unrestricted RN license in the state of MA. Attending appeals hearings on a case to case basis....

UnitedHealth Group-Quincy, MA

Experience in appeals and / or prior authorization. Active, unrestricted RN license in the state of MA. Attending appeals hearings on a case to case basis....

UnitedHealth Group-Springfield, MA

Experience in appeals and / or prior authorization. Active, unrestricted RN license in the state of MA. Attending appeals hearings on a case to case basis....

UnitedHealth Group-Tewksbury, MA

Experience in appeals and / or prior authorization. Active, unrestricted RN license in the state of MA. Attending appeals hearings on a case to case basis....

State of Wisconsin-Wisconsin $53,000 - $77,000 a year

In addition to the RN Licensure, minimally qualified candidates will have:. Respond to appeals of PA denials and modifications, preparing legal position papers...

Anthem, Inc.-Tampa, FLEstimated: $55,000 - $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.

May also manage appeals for services denied. Current unrestricted RN license in applicable state(s) required. At Anthem, Inc., it’s a powerful combination, and...

Anthem, Inc.-Waukesha, WIEstimated: $74,000 - $93,000 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.

May also manage appeals for services denied. Requires current active unrestricted RN license to practice as a health professional within the scope of practice...

County of San Mateo-San Mateo County, CA $58 - $68 an hour

Oversee appeals with third-party payors; Case Management Nurse - Must have knowledge of and verifiable experience in initiating and coordinating complex...

National Medical Reviews, Inc.-Warminster, PAEstimated: $56,000 - $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.

RN. Training on medical records review and appeals procedures is provided. Collaborate telephonically and electronically with industry professionals (case...

Alvarez & Marsal-Los Angeles, CAEstimated: $56,000 - $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.

Perform retrospective review for medical necessity appeals against medical review criteria to make benefit of determinations....

Convergent-Boca Raton, FLEstimated: $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.

Licensed RN –license must be active, and in good standing. Prepare and submit appeals to third party payers in some cases....

UnitedHealth Group-Plano, TX

Must be a licensed RN in the State of Texas. Provides clinical support for performing clinical review of appeals, and may also review quality of service issues....

Marshfield Clinic-Marshfield, WIEstimated: $54,000 - $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.

The Coding/Medical Review and Appeals Registered Nurse is responsible for the initial development of payor or Recovery Audit Contractors (RAC) appeals...

Oneida Healthcare-Canastota, NYEstimated: $50,000 - $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.

Prepares all information for Medicare appeal and/or insurance companies. Oneida Healthcare (OHC) is a 101-bed acute care hospital (ACF) and a 160-bed extended...

InGenesis-Harrisburg, PAEstimated: $56,000 - $76,000 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.

Candidate may also represent the Department in an official capacity during an appeal process. Review and Evaluation Nurses WE WANT YOU!*....

The Bay at North Ridge-Milwaukee, WIEstimated: $65,000 - $82,000 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.

RN. Must have current RN license. Completes responses to request for additional information from the intermediary and appeals decision when necessary....


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