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20 appeals nurse jobs found in the United States

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Transitional Care Coordinator (RN)
  • University of Maryland Medical System Health Plans
  • Timonium, MD
  • A current Maryland nursing license without restrictions required * 3-5 years of healthcare ... appeals, and case management.
  • 6 hours ago

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RN Case Manager
  • At Home Health care LLC
  • Herndon, VA
  • We are seeking an RN Case Manager to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients. Responsibilities: * Administer nursing care to ill ...
  • 5 days ago

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Utilization Review Nurse
  • Washington Hospital Center
  • Washington, DC
  • Under the direction of The Director of UM/Appeals assists in the administration of utilization functions, the Utilization Review Nurse, assesses patient insurance/status to facilitate appropriate ...
  • 11 days ago

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Revenue Integrity RN Auditor
  • Ascension
  • Halethorpe, MD
  • Prior experience with denials and appeals processing, utilization review, or payor auditing ... Registered Nurse credentialed from the Maryland Board of Nursing obtained prior to hire date or job ...
  • 18 days ago

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Utilization Coord Non RN
  • MedStar Harbor Hospital
  • Brooklyn, MD
  • Generates appeal letters based on knowledge of psychiatric medical necessity. * Participates in ... nurse association in the region, and highly respected institutes dedicated to research and ...
  • 27 days ago

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RN Case Manager I
  • Children's National Health System
  • Washington, DC
  • All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies and Procedures, and in accordance with all applicable laws and ...
  • 2 months ago

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RN Case Manager
  • Washington Hospital Center
  • Washington, DC
  • The Case Manager coordinates with physicians, nurses and social workers and other disciplines within the care team, including outside agencies, to expedite the appropriateness, effectiveness and ...
  • 2 months ago

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Manager Appeals
  • careers.highmarkhealth.org
  • Pittsburgh, PA Full Time
  • Company : Gateway Health Plan Job Description : JOB SUMMARY This job is responsible for the daily oversight of staff and...
  • 1 Month Ago

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APPEALS SPECIALIST
  • UHS
  • DENISON, TX Full Time
  • Responsibilities One of the nation?s largest and most respected hospital companies, Universal Health Services, Inc. (UHS...
  • 2 Months Ago