CLINICAL APPEAL 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

This position will be working from home anywhere in the US. Standard business hours 8 a-5 p in time zone of residence Monday - Friday. The Appeals Nurse Consultant position is responsible for processing the medical necessity of Medicare appeals for p Appeals, Nurse, Consultant, Remote, Health, Technology, Retail, Benefits

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...

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...

com to find a qualified Gastroenterology MD in Des Moines, Iowa, 50325! A multi-specialty hospital is seeking a gastroenterologist for locum tenens coverage.In Des Moines, Iowa, visitors can enjoy exploring the vibrant Downtown Farmers' Market, featuring local produce, artisan goods, and live entertainment.The clinician will work outpatient procedures or...

Wolfe Eye Clinic is searching for Fellowship trained BC/BE pediatric/adult strabismus ophthalmologist to join our growing Des Moines regional practice. Our current regional professional pediatric staff includes 3 optometrists and a very busy pediatric ophthalmologist after the recent retirement of a senior pediatric ophthalmologist. This pediatric eye...

We are currently searching for accomplished cataract and glaucoma surgeons for the retirements of our most senior glaucoma and cataract specialists based in our Des Moines clinic. Our four current glaucoma subspecialists each annually perform 700-1,600 IOL procedures (avg=1,200+) and approximately150 glaucoma procedures. Our retiring senior cataract surgeon...

Overview Specialty Nurse (RN) - Penn Avenue Cardiology Full-time Benefit Package Shift: Monday to Friday, 8:30 am to 5:00 pm **$5,000.00 Sign-on Bonus! You are a vital component of our patient's journey. At UnityPoint Clinic, we want your career to benefit you as you help every patient. With training and opportunities for growth, UnityPoint Clinic...

Overview Specialty Nurse (RN) - Penn Avenue Cardiology Full-time Benefit Package Shift: Monday to Friday, 8:30 am to 5:00 pm **$5,000.00 Sign-on Bonus! You are a vital component of our patient's journey. At UnityPoint Clinic, we want your career to benefit you as you help every patient. With training and opportunities for growth, UnityPoint Clinic...

MercyOne Des Moines is seeking a BC/BE Psychiatrist to join our Psychiatry Residency Faculty. We offer a competitive compensation package including a $50,000 sign-on bonus, paid malpractice and a 403B match. J1 and H1B candidates encouraged to apply. Clinical supervision and mentorship of Residents in ambulatory setting Provide outpatient care in...

Job Title: On-Site Gastroenterology Physician Location: VA Central Iowa Health Care Systems, 3600 30th Street, Des Moines, IA 50310 Job type: Full-time position Schedule: Tuesday to Friday, 07:00 – 17:00 Qualifications: Medical degree from an accredited institution Board certification in Internal Medicine and Gastroenterology by the American Board...

LocumJobsOnline is working with LocumTenens.com to find a qualified Gastroenterology MD in Des Moines, Iowa, 50325! About The Position A multi-specialty hospital is seeking a gastroenterologist for locum tenens coverage.In Des Moines, Iowa, visitors can enjoy exploring the vibrant Downtown Farmers' Market, featuring local produce, artisan goods, and...

A multi-specialty hospital is seeking a gastroenterologist for locum tenens coverage.In Des Moines, Iowa, visitors can enjoy exploring the vibrant Downtown Farmers' Market, featuring local produce, artisan goods, and live entertainment.There will be 24-hour call from 7a-7a and outpatient hours from 8a-4p. The clinician will work outpatient procedures or...

The Tax Department of one of the fastest-growing accounting firms in the country is seeking a Business Property Tax Senior who is motivated to learn, excited to collaborate and passionate about delivering outstanding results. This individual will have a direct impact on our firms mission of serving as a catalyst for those striving to achieve their highest...

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...

Overview Clinical Education Specialist Full-Time Days Benefits Eligible Functions as a staff development specialist to analyze learning needs and develop appropriate education plans to meet the needs of the service line and organization. Coordinates, influences, and assists with the integration of research findings into corresponding patient care...

Overview Clinical Education Specialist Full-Time Days Benefits Eligible Functions as a staff development specialist to analyze learning needs and develop appropriate education plans to meet the needs of the service line and organization. Coordinates, influences, and assists with the integration of research findings into corresponding patient care...

Job Title: RN Clinical ConsultantDepartment: Health Services - Enhanced Care ManagementAbout the Role:As an RN Clinical Consultant, you play a pivotal role in ensuring the provision of high-quality care for enrollees within ECM Health Risk Assessments. You are entrusted with the critical task of assessing and determining the appropriate management of member...