Appeals Nurse Specialist Salary in Colorado - State Average

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Average Salary for Appeals Nurse Specialist in Colorado - State Average

The average salary of a(n) Appeals Nurse Specialist in Colorado - State Average is $69,219.

The average hourly rate of a(n) Appeals Nurse Specialist in Colorado - State Average is $33.28.

The average bonus of a(n) Appeals Nurse Specialist in Colorado - State Average is $1,052.00.

Job Description:

Investigates and researches time-sensitive appeals cases regarding medical health needs, patient care issues, transportation, medications, durable medical equipment, or home care by using medical investigative skills. Maintains liaison with enrollees in a health plan and providers, pharmacies, and other medical entities involved in the appeals process. Organizes cases to ensure timely completion and to avoid fines or penalties that may be imposed. Requires RN or LVN license. Researches, investigates, and resolves issues identified in correspondence. Reviews contract language and medical record documentation from contracted providers, non-contracted providers, and outside entities. Serves as contact person with enrollees and providers during the investigation of appeals. Documents and summarizes the investigation's result. May prepare appeal correspondence. Less

Investigates and researches time-sensitive appeals cases regarding medical health needs, patient care issues, transportation, medications, durable medical equipment, or home care by using medical investigative skills. Maintains liaison with enrollees in a health plan and providers, pharmacies, and other medical... More

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CLIENT CARE AIDE II/ CNA II -- Wheat Ridge Regional Center - Jefferson County, CO

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Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights. Collaborating with charge nurse and other nursing personnel to provide and...

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Utilization Review Specialist -cv - Johnstown, CO

Strategic Behavioral Health, LLC

Facilitates clinical pertinence reviews on all patient admissions and continued stays, retrospective reviews, denial appeals, completion of certifications....

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CDOC Medical Records Technician - Cañon City, CO

Colorado Department of Human Services

A standard appeal form is available at:. If you appeal, your appeal must be submitted in writing on the official appeal form, signed by you or your...

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MID-LEVEL PROVIDER Director of Staff Education-PRC - Pueblo, CO

Colorado Department of Human Services

Clinical nurse specialist or nurse practitioner assignment ONLY:. Clinical nurse specialist or nurse practitioner work assignment ONLY:....

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LPN or LPT (HCT II) - Colorado Mental Health Institute at Pueblo - Pueblo, CO

Colorado Department of Human Services

Position may qualify for Nurse Corps Loan Repayment Program. Nursing experience as a Licensed Psychiatric Technician or Licensed Practical Nurse in a mental...

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