RN APPEALS WRITER

Description:**Appeal Experience REQUIRED**RESPONSIBLE FOR: Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current...

Description:RESPONSIBLE FOR: Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current knowledge base of medical...

Job Type Full-time Description The Appeals and Denials Specialist is responsible for triaging and writing DRG downgrades and clinical validation appeal letters for multiple clients. The Appeals and Denials Specialist will ensure appropriate action is taken within appeal deadlines. This position collaborates with the Appeals and Denials team and other...

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...

IND123 #GD #LI-POSTOverview: The Advanced Lung Disease (ALD) Clinical Nurse Specialist serves as the clinical liaison for our ALD Program in the ambulatory setting. Under the direction of the ALD providers, the specialty nurse will coordinate clinical activities in accordance with orders, policies, and protocols.Roles and responsibilities:* Management of...

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...

Description: IND123#GD#LI-POSTOverview: The Advanced Lung Disease (ALD) Clinical Nurse Specialist serves as the clinical liaison for our ALD Program in the ambulatory setting. Under the direction of the ALD providers, the specialty nurse will coordinate clinical activities in accordance with orders, policies, and protocols.Roles and...

ApplyJob TypeFull-timeDescriptionFulton ManorFull-time80 hours bi-weekly8:00 AM - 4:30 PMResponsible for the completion and submission of the Minimum Data Set (MDS), coordinating completion of resident care, identifying the needs of the resident and projected outcomes. Provides nursing services to persons needing restoration of physical or mental functioning...

OverviewMonterey Park Hospital, located in the San Gabriel Valley of Los Angeles, is a 101 bed acute care community hospital. Monterey Park Hospital has provided our community with advanced medical and culturally sensitive healthcare services for over 50 years. Monterey Park Hospital is recruiting for a full time RN Case Manager for our Utilization Review...

Oversee utilization management and review of patients care delivery while in the hospital and provide clinical reviews and denial appeals where appropriate either during admission or post discharge.Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Regional Medical Center Everett and thrive in our culture of...

Work Schedule:100% FTE. Primarily Monday - Friday, no weekends. Eight hour shifts between the hours of 7:30 AM - 4:00 PM.Be part of something remarkableJoin the #1 hospital in Wisconsin!We are seeking a Denial Management Nurse to:* Be part of a dynamic team to manage clinical denials from payors.* Use your expert clinical knowledge to resolve medical...

Join At Home Healthcare as a Private Duty Nurse (RN or LVN) in the Crockett, TX area!We are looking for a compassionate and dedicated Registered Nurse (RN) or Licensed Vocational Nurse (LVN) that will provide specialized healthcare services to pediatric patients in the comfort of their own homes. The primary responsibility of this role is to ensure...

Overview: We are not just offering a job but a meaningful career! Come join our passionate team! As a Fortune 50 company, we hire the best employees to serve our customers, making us a leader in the insurance and financial services industry. State Farm embraces diversity and inclusion to ensure a workforce that is engaged, builds on the strengths and...

Details* Department: Patient Accounting* Schedule: Full-time, Day Shift, 40 hours per week* Hospital: Ascension Saint Thomas West* Location: Nashville, TNBenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental...

The Staff RN, under general supervision of the Medical Director and Practice Manager, functions as an ambulatory practice nurse for the MGH Waltham Heart Center, a noninvasive cardiology academic group practice and testing site. Four days on site, one day remote per week (post adequate orientation period), staffing and resources dependent.'Principal Duties...

DescriptionJob Schedule: Full TimeStandard Hours: 40Job Shift: Shift 1Shift Details:Work 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, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network as a...

About Morada Senior LivingMorada Senior Living ranks prominently among the 5 largest senior housing providers in the US and is nationally renowned for luxury senior-living communities. With over 250 communities in nearly 40 states, and 15,000 dedicated employees, Morada Senior Living is one the largest and fastest growing senior living companies in the...

OverviewTo be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.The Case Manager is responsible and accountable for ensuring...

The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical financial resource utilization. Coordinates with healthcare team for optimal/efficient patient outcomes, while decreasing length of stay (LOS) and avoid delays and denied days. They are accountable for a designated patient caseload and provides...