APPEALS NURSE CONSULTANT

The Appeals Nurse Consultant position is responsible for processing the medical necessity of Medicare Part C appeals from both members and providers. This role is considered a production role and remains as part of the Nurse Appeal Consultant job cod Appeals, Nurse, Consultant, Remote, Health, Technology, Retail, Benefits

The Appeals Nurse Consultant position is responsible for processing the medical necessity of Medicare Part C appeals from both members and providers. This role is considered a production role and remains as part of the Nurse Appeal Consultant job cod Appeals, Nurse, Consultant, Remote, Health, Business Partner, Retail, Healthcare

Position SummaryThe Appeals Nurse Coordinator II will provide concurrent review and appeal support services for XSOLIS's growing client base. An Appeals Nurse Coordinator II will have experience with utilization management, DRG clinical validation, understand the state and federal regulations, have knowledge/experience with the denials and appeals process...

Appeal Experience REQUIREDRESPONSIBLE FOR:Detailed review, analysis and extraction of clinical information from patient medical records and drafting ofeffective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied casesunder appeal at all levels of the government appeals process; maintaining current knowledge base...

Job DescriptionECU HealthAbout ECU Health Medical CenterECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet designation twice and...

Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five...

UC Health is hiring a full time Nursing Workforce Consultant.The Nursing Workforce Consultant will work in collaboration with nursing leadership, human resources, and talent acquisition on strategic nursing related workforce, retention strategies, developing pipelines, nursing recruitment, and nursing career pathway programs. The consultant will use their...

Your RoleThe Utilization Management team facilitates the review of requests for medical necessity to assure that care is provided to our members timely, at the correct level of care with quality and cost effectiveness standards. The Utilization Management Nurse Consultant will report to the Utilization Management Manager. In this role you will be an...

Are you ready to elevate your career and further your experience?If you are ready for the next steps in your career, you should consider joining an elite group of Nurse Consultants with Pathway Health!Pathway Health is looking for experienced registered nurses (RN) that are interested in leadership opportunities. We have Nurse Consultant positions that are...

Are you ready to elevate your career and further your experience? How does a $10K* sign on bonus sound?If you are ready for the next steps in your career, you should consider joining an elite group of Nurse Consultants with Pathway Health!Pathway Health is looking for experienced registered nurses(RN) that are interested in leadership opportunities. We have...

SUMMARYThe Pediatric Hospitalist is accountable for delivering comprehensive quality patient care, including diagnostic and interventions according to standards of practice for children from birth through adolescence. The incumbent functions as a member of an inter-disciplinary team within an integrated academic model, with the potential for a clinical...

Provides medical management to workers compensation injured employees. Essential Duties & Responsibilities: Performs case management through telephonic contact with all medical providers, employers, claims professionals and ancillary service provider Nurse, Consultant, Workers Compensation, Medical, Insurance, Healthcare

The Nursing Consultant (Nursing Education Option) is a permanent, full-time position with the Alabama Board of Nursing. Positions are located in Montgomery. This is responsible administrative and professional work in the regulation of licensure and practices in the state.

Employment Type:Full timeShift:12 Hour Night ShiftDescription:Position PurposeAt Saint Francis Hospital the Surgical Cardiology provides care for patients with a spectrum of cardiovascular disorders including dysrhythmias, atherosclerotic disease, and surgical interventions (CABG, Valve replacement, TAVR, etc.). We also care for patients following thoracic,...

Employment Type:Full timeShift:12 Hour Day ShiftDescription:Position PurposeAt Saint Francis Hospital the Surgical Cardiology provides care for patients with a spectrum of cardiovascular disorders including dysrhythmias, atherosclerotic disease, and surgical interventions (CABG, Valve replacement, TAVR, etc.). We also care for patients following thoracic,...

DescriptionJob Schedule: Per DiemStandard Hours: 1.0Job Shift: Shift 1Shift Details: Per Diem position , 7-5:30pm , possible to schedule 7 days per weekWork where every moment matters.Every day, almost 25,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become...

Vice-Chair, Education and Psychiatrist – Hartford, CT Job Schedule: Full Time Job Shift: Shift 1 Shift Details: The Institute of Living (IOL) at Hartford Hospital is part of Hartford HealthCare’s Behavioral Health Network (HHC BHN), the largest and most comprehensive behavioral health system in New England. We have a new opportunity...

DescriptionJob Schedule: Full TimeStandard Hours: 36Job Shift: Shift 1Shift Details: Full time and Part Time Available • Shift: Day and Night Available • Every other weekend and holiday commitment requiredWork where every moment matters.Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do,...

The Registered Nursing Consultant is part of the Management & Performance Services / Quality Management Department. The requirements for this position represent work in planning, delivering, monitoring, evaluating, and consulting in the management of Nursing, Registered, Consultant, Monitoring, Management, Medical, Healthcare

HSD Mission: Healthy Communities, Healthy Families To connect people with resources and solutions during times of need so we can all live, learn, work, and take part in strong, healthy communities. Human Services, a department of the City of Seattle, funds and operates programs and services that meet the basic needs of the most vulnerable people in our...