Tufts Health Plan - Watertown, MA 3.8

Assists in the screening of appeal cases to provide clinical input as needed or requested. Provides all aspects of clinical decision making and support needed...

Estimated: $53,000 - $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.

UnitedHealth Group - Boston, MA 3.6

Optum, CPC, RN, Medical Record Coding, Claim Auditing, Claims, Medicaid, Medicare, CIC, COC, CPMA, CCS. Where applicable, the investigator will provide appeals...

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Recovery Centers of America - Danvers, MA 3.1

Nursing Clinical Setting:. Provides education to clinical team surrounding medical necessity criteria. Additionally, the UR Coordinator is responsible for...

Estimated: $45,000 - $60,000 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.

Sponsored

UnitedHealth Group - Boston, MA 3.6

Optum, CPC, RN, Medical Record Coding, Claim Auditing, Claims, Medicaid, Medicare, CIC, COC, CPMA, CCS. Where applicable, the investigator will provide appeals...

Sponsored

University of Massachusetts Medical School - Charlestown, MA 4.2

Analyze existing clinical audit practices and policies to define and ultimately implement changes to improve clinical integrity and overall unit processes....

Recovery Centers of America - Danvers, MA 3.1

Nursing Clinical Setting:. Provides education to clinical team surrounding medical necessity criteria. Additionally, the UR Coordinator is responsible for...

Estimated: $45,000 - $60,000 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.

AKCEA Therapeutics - Cambridge, MA 

RN with current license required. Clinical, technical and scientific knowledge and aptitude in complex disease state....

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.

UnitedHealth Group - Boston, MA 3.6

Where applicable, the investigator will provide appeals and investigative support, as well as testimony. The investigator will conduct onsite and desk audits of...

Fallon Health - Lawrence, MA 3.4

When invited by Outreach/Provider Relations/NaviCare Clinical Leadership Team attends and contributes Model of Care trainings/orientations with providers and/or...

Estimated: $57,000 - $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.

Tufts Health Plan - Watertown, MA 3.8

Minimum of five years of clinical nursing experience. Identifies documents and refers potential QA occurrences to the Clinical Quality Department for review....

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.

Tufts Medical Center - Boston, MA 3.9

Refer patients' concerns requiring clinical interpretation to the appropriate provider (MD, RPh, RN, NP, PA). Inform patients of status of prior authorizations...

Estimated: $49,000 - $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.

UnitedHealth Group - Boston, MA 3.6

Where applicable, the investigator will provide appeals and investigative support, as well as testimony. The Analyst will conduct onsite and desk audits of...

Twin Oaks Center - Genesis HealthCare - Danvers, MA +1 location3.2

4.5 Trains backup personnel for the Clinical Reimbursement Coordinator; One year of long term care clinical nursing experience is required....