Top 314 Nurse jobs Jobs in Keithsburg Il

Market Appeals Specialist
UHS - Nashville Regional Office —Illinois
- $69,000 - $89,000 a year
- Full-time
- Remote
- Microsoft Excel
- RN License
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
12d
Registered Nurse Emergency Department
OSF HealthCare —Monmouth, IL
- $34.25 - $51.13 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
Registered Nurse (Pay-$65/hr to $80/hr)
Dolphin Solutions Inc —Illinois
- $65 - $80 an hour
- 12 hour shift
- Patient monitoring
- Mid-level
- Referral program
Quick Apply
6h
Field Care Manager - RN
Humana —Illinois
- $71,100 - $97,800 a year
- Full-time
- Microsoft Word
- Spanish
- Nursing
- Paid parental leave
- Paid holidays
9d
Registered Nurse - RN - Home Health
Professional Case Management —West Burlington, IA
- $40.00 - $42.50 an hour
- CPR Certification
- Nursing
- Current TB test
- Health insurance
- Dental insurance
Quick Apply
MDS Nurse (RN/LPN)
Mercer Manor Nursing and Rehabilitation —Aledo, IL
- $80,000 - $90,000 a year
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Health insurance
- 401(k)
Quick Apply
11d
Registered Nurse (RN)
Mercer Manor Nursing and Rehabilitation —Aledo, IL
- $40.00 - $46.44 an hour
- Full-time
- Skilled nursing facility
- RN License
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Remote RN Case Manager - Behavioral Health
Guidehealth —Illinois City, IL
- $80,000 - $90,000 a year
- Full-time
- Nursing
- Psychiatry
- RN License
- Paid parental leave
- Disability insurance
Registered Nurse (RN)
Lutheran Living Senior Campus —Muscatine, IA
- From $40 an hour
- Part-time
- Background check
- CPR Certification
- Vital signs
- Health savings account
- Health insurance
Quick Apply
Home Health Registered Nurse (RN) Field Case Manager
Optimae Home Health Services —Burlington, IA
- Full-time
- Background check
- CPR Certification
- RN License
- Mileage reimbursement
- Disability insurance
Quick Apply
13d
OR RN-Operating Room Registered Nurse
MercyOne —Aledo, IL
- Part-time
- Nursing
- Surgery
- RN License
Quick Apply
RN Acute Pool $75/hr
Pinnacle Alliances/HEALTH —Illinois
- $60 - $75 an hour
- Travel nursing
- Experience working with individuals with developmental disabilities
- Nursing
- Patient monitoring
Quick Apply
6d
Travel CCU RN in Burlington, Iowa
Gifted Healthcare —Burlington, IA
- $2,485 a week
- Travel nursing
- Medication administration
- Patient monitoring
- Mid-level
Quick Apply
Travel CCU RN in Burlington, Iowa
Gifted Healthcare —Burlington, IA
- $2,485 a week
- Travel nursing
- Medication administration
- Patient monitoring
- Mid-level
Quick Apply
Registered Nurse
Synapse Business Systems —Illinois
- $70 - $72 an hour
- Overtime
- Surgery
- RN License
- Hospital
- Mileage reimbursement
- Referral program
Quick Apply
5d
Private Duty Nurse (RN)
Aveanna Healthcare —Burlington, IA
- $32 - $35 an hour
- Part-time
- CPR Certification
- RN License
- BLS Certification
- Employee stock purchase plan
- Dental insurance
Quick Apply
15h
Local ICU (Intensive Care Unit) RN (Registered Nurse) in West Burlington, IA - 1139945L
Medical Solutions —West Burlington, IA
- PRN
- RN License
- Critical & Intensive Care
- 1 year
- Health insurance
- Dental insurance
Quick Apply
Local ICU (Intensive Care Unit) RN (Registered Nurse) in West Burlington, IA - 1139945L
Medical Solutions —West Burlington, IA
- PRN
- RN License
- Critical & Intensive Care
- 1 year
- Health insurance
- Dental insurance
Quick Apply
Local ICU (Intensive Care Unit) RN (Registered Nurse) in West Burlington, IA - 1139945L
Medical Solutions —West Burlington, IA
- PRN
- RN License
- Critical & Intensive Care
- 1 year
- Health insurance
- Dental insurance
Quick Apply
ER RN - Emergency Registered Nurse
MercyOne —Aledo, IL
- $32.74 - $49.11 an hour
- Full-time
- Nursing
- Management
- RN License
Quick Apply
14d

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nurse jobs jobs near keithsburg il

Market Appeals Specialist

UHS - Nashville Regional Office
Illinois

Quick Apply

Job Details

Full-time
$69,000 - $89,000 a year
12 days ago

Benefits

Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching

Qualifications

Appeals
Microsoft Excel
Writing skills
LPC
Inventory management software
Master's degree
Database management
Case appeal in utilization management
Bachelor's degree
Utilization management
Resource utilization in healthcare
Microsoft Teams
Productivity software
Clinical documentation standards
Insurance claims appeal handling
LCSW-C

Full Job Description

BH Shared Services (a UHS company) is currently seeking an experienced Market Appeals Specialist to join our established team in the Central Appeals Office.

POSITION SUMMARY: This position supports utilization management and shared services within the behavioral health division. This role oversees and completes all standard appeals within a designated market, including both Cerner and non-Cerner facilities.
A successful candidate must have knowledge of utilization management operations, including experience with appeal letters and payer engagement. The ability to apply clinical acumen in a behavioral health setting both verbally and in writing is essential to this role. *This is a fully remote position.

RESPONSIBILITIES:

Complete all standard appeals timely and manage appeal inventory through ongoing tracking and monitoring.
Act as a liaison with local facilities and payers to ensure timely appeal processing including appropriate follow-up with payers for facility reimbursement.
Participate in local facility UM team meetings to support the standard appeal process.
Provide feedback to providers and UM team on opportunities impacting facility recoveries (e.g., documentation)
Performs other duties as assigned/required by this position

This opportunity provides the following:

UHS offers a challenging and rewarding work environment
Growth and development opportunities within UHS and its subsidiaries
Competitive Compensation
Excellent Medical, Dental, Vision and Prescription Drug Plan.
401k plan with company match
Generous Paid Time Off

REQUIREMENTS:

Bachelor's degree required, Master's preferred
RN License or Master's level clinician required,Licenusre preferred
3-5 years related experience required, 5-8 preferred
Knowledge of utilization management operations, including experience with appeal letters and payer engagement.
Proficient in Excel, Microsoft Office/Teams, Word, and database inventory management.
Knowledge of payer requirements for reimbursement across all levels of care and behavioral health business office operations.
Strong oral communication skills to represent patient progress and treatment in behavioral health.
Understanding of medical necessity criteria application for all levels of care.
Ability to apply clinical acumen in behavioral health to written correspondence.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Pay: $69,000.00 - $89,000.00 per year

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Tuition reimbursement
Vision insurance

Education:

Master's (Preferred)

License/Certification:

LCSW-C (Preferred)
LPC (Preferred)

Work Location: Remote

Quick Apply

Refine Your Search

nurse jobs jobs in keithsburg il

Market Appeals Specialist

Registered Nurse Emergency Department

Registered Nurse (Pay-$65/hr to $80/hr)

Field Care Manager - RN

Registered Nurse - RN - Home Health

MDS Nurse (RN/LPN)

Registered Nurse (RN)

Remote RN Case Manager - Behavioral Health

Registered Nurse (RN)

Home Health Registered Nurse (RN) Field Case Manager

OR RN-Operating Room Registered Nurse

RN Acute Pool $75/hr

Travel CCU RN in Burlington, Iowa

Travel CCU RN in Burlington, Iowa

Registered Nurse

Private Duty Nurse (RN)

Local ICU (Intensive Care Unit) RN (Registered Nurse) in West Burlington, IA - 1139945L

Local ICU (Intensive Care Unit) RN (Registered Nurse) in West Burlington, IA - 1139945L

Local ICU (Intensive Care Unit) RN (Registered Nurse) in West Burlington, IA - 1139945L

ER RN - Emergency Registered Nurse

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