AKCEA Therapeutics - Cambridge, MA 5

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

Estimated: $58,000 - $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.

Lahey Health System, Inc - Beverly, MA 

A minimum of 5 years current experience in denials management or direct work for Recovery Audit Contractors is required, and experience with DRG clinical...

Estimated: $65,000 - $89,000 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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Mitra Biotech - Woburn, MA 

Help create company clinical HIPPA policies and guidelines and train clinical staff on requirements to keep PHI safe in the field and internally....

Estimated: $70,000 - $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.

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Beacon Health Options - Boston, MA 3.2

Utilizing clinical and regulatory expertise, serves as the Quality Department expert and liaison to the Utilization Management Committee and clinical areas,...

Estimated: $100,000 - $140,000 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

Hearthstone Alzheimer Care LTD - Woburn, MA 4.7

RN and LPN Nurses:. To apply, include a cover letter stating what appeals to you about this role and include your salary requirements....

$25 an hour

Genesis HealthCare - Andover, MA 3.2

Five years of recent clinical nursing experience required. Provide current, accurate and complete clinical information to payor....

Mitra Biotech - Woburn, MA 

Help create company clinical HIPPA policies and guidelines and train clinical staff on requirements to keep PHI safe in the field and internally....

Estimated: $70,000 - $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.

Care One Mass - Brookline, MA 

RN. Graduate of an approved RN program. Now Hiring - Clinical Reimbursement Coordinator - Brookline, MA. Current RN license in the state and credentials as...

Estimated: $57,000 - $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.

Wingate Healthcare - Weston, MA 

Participates in clinical meetings and monitors clinical documentation for signs of Significant Change. Participates in interdisciplinary team meetings and other...

Estimated: $54,000 - $73,000 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.

Wingate Weston, Chestnut Hill - Weston, MA 

Participates in clinical meetings and monitors clinical documentation for signs of Significant Change. Participates in interdisciplinary team meetings and other...

Estimated: $44,000 - $57,000 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.

Wingate - Weston, MA +1 location

Participates in clinical meetings and monitors clinical documentation for signs of Significant Change. Participates in interdisciplinary team meetings and other...

Estimated: $51,000 - $73,000 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.

Anthem, Inc. - Boston, MA 3.8

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

Estimated: $71,000 - $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.

Commonwealth Care Alliance - Charlestown, MA 3.5

Complaints and appeals. Coordinate with other CCA departments, including Clinical Management, Member Services, Regulatory Affairs, Outreach and Marketing, to...

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.

Conifer Health Solutions - Marlborough, MA 3.1

If clinical review does not meet IQ criteria, other pertinent clinical facts are utilized to support the appeal....

Commonwealth Care Alliance - Boston, MA 3.5

Equivalent experience of 2 plus years in managed care, healthcare coverage appeals, or clinical complaints/grievances....

Estimated: $49,000 - $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.

Spaulding Nursing & Therapy Centers(SRN,SWR& SNE) - Brighton, MA 4.1

Denials and appeals are reviewed within established timeframes. Direct clinical practices are managed to ensure compliance with all regulations and achievement...

Estimated: $71,000 - $91,000 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.

Commonwealth Care Alliance - Boston, MA 3.5

Gather supporting documentation and submit appeals to Medicaid and or Medicare as appropriate. Review, verify and follow up on appeals submitted to Medicaid and...

Estimated: $43,000 - $59,000 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.

Daley and Associates - Boston, MA 4.2

Clinical and/or related experience. Serve as a clinical resource to the Revenue Integrity & Billing Compliance team....

Estimated: $59,000 - $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.

AP Staffing - Boston, MA 3.8

Produces an appeal letter containing the fundamental clinical documentation for various levels of care in both inpatient and outpatient cases....

Estimated: $54,000 - $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.

Beacon Health Options - Boston, MA 3.2

Utilizing clinical and regulatory expertise, serves as the Quality Department expert and liaison to the Utilization Management Committee and clinical areas,...

Estimated: $100,000 - $140,000 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.

Steward Health Care - Dorchester, MA 3.2

Provides leadership to clinical staff regarding resource allocation, clinical decision making, and conflict management. MA RN license is required....

Estimated: $110,000 - $160,000 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.