9 jobs matching your criteria
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Appeals AND Grievance Nurse Registered Nurse II - Clinical Appeals
access_time Posted 4 days ago
account_balance Christus Health
location_on Tyler
The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the ...
Supervisor, QI RN
access_time Posted 25 days ago
account_balance SAN JOAQUIN COUNTY HEALTH COMMISSION
location_on Placerville
Grievance and Appeals Nurses * QI Nurses Essential Functions * Plans and assigns work; monitors workload; makes timely and effective adjustments. * Participates in HEDIS activities as required ...
Supervisor, QI RN
access_time Posted 29 days ago
account_balance SAN JOAQUIN COUNTY HEALTH COMMISSION
location_on French Camp
Grievance and Appeals Nurses * QI Nurses Essential Functions * Plans and assigns work; monitors workload; makes timely and effective adjustments. * Participates in HEDIS activities as required ...
Supervisor, QI RN
access_time Posted 29 days ago
account_balance SAN JOAQUIN COUNTY HEALTH COMMISSION
location_on Modesto
Grievance and Appeals Nurses * QI Nurses Essential Functions * Plans and assigns work; monitors workload; makes timely and effective adjustments. * Participates in HEDIS activities as required ...
Nurse Auditor
access_time Posted 2 months ago
account_balance Memorial Hospital of Laramie County
location_on Cheyenne
Nurse Auditors perform medical bill and defense audits, and review grievances and claim denials. May recommend appeals and/or facilitate resolutions. Why Work at Cheyenne Regional? * ANCC Magnet ...
Division Director of Resident Care - RN
access_time Posted 2 months ago
account_balance Morada Senior Living
location_on Dallas
... grievances * Conducts compliance surveys at communities. Assist in coordinating actions plans to ... If having a direct impact on the lives of others is appealing to you, apply today and join our team
Division Director of Resident Care - RN
access_time Posted 2 months ago
account_balance Morada Senior Living
location_on Oklahoma City
... grievances * Conducts compliance surveys at communities. Assist in coordinating actions plans to ... appealing to you, apply today and join our team! No agencies, please. We do not accept any ...
Deputy/Associate Chief Medical Officer
access_time Posted 28 days ago
account_balance Tiburcio Vasquez Health Center
location_on Hayward
... grievances, appeals, and other medical management challenges. Directs and supervises assigned ... nurses. * Works closely with the COO to address and enhance operational flows. * Designs ...
Revenue Cycle Manager
access_time Posted 9 hours ago
account_balance NRGUSA
location_on Peoria
Resolve grievances and other sensitive personnel matters. * Follow and monitor compliance with ... Monitors daily productions of scheduling, claims, denials, and appeals. * Analyzes claims ...
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