Clinical Appeals Nurse Specialist

Job Summary:We are seeking a highly skilled Clinical Appeals Nurse Specialist to join our team at Christus Health. The successful candidate will be responsible for managing and communicating denials/appeals received from third-party payers, managed care companies, and government entities/auditors.Key Responsibilities:Analyze governmental denial rationales...

Job SummaryWe are seeking a skilled Clinical Appeals Nurse to join our team at Christus Health. As a key member of our healthcare team, you will be responsible for managing and communicating denials/appeals received from third-party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care.About the...

We are seeking a skilled Clinical Denial Specialist to join our team at Christus Health.About the RoleThe successful candidate will be responsible for managing denials and appeals from various third-party entities concerning medical necessity and level of care. This role involves reviewing cases, communicating with stakeholders, and orchestrating educational...

Job SummaryWe are seeking a highly skilled Clinical Appeals Specialist RN to join our team at Christus Health. This is a full-time position responsible for managing denial and appeal processes, providing case analysis, and coordinating with healthcare teams to resolve issues related to medical necessity.About the RoleThe successful candidate will be...

Christus Health is seeking a skilled Clinical Appeals Nurse II to manage denial and appeal processes from third-party payers, providing case analysis and coordinating with healthcare teams to resolve issues related to medical necessity.About the RoleThis role is responsible for reviewing governmental denial rationales, analyzing Medicare guidelines, and...

Job DescriptionThe Medical Necessity Appeals Specialist at Christus Health is a critical role that requires strong clinical knowledge and analytical skills.About the Job:Manage denials and appeals from third-party payers and government entities, focusing on medical necessity and level of care.Draft appeal letters and ensure timely filing to minimize revenue...

About Christus HealthWe are a leading healthcare provider dedicated to delivering exceptional patient care. Our team of experienced professionals is committed to making a positive impact on the lives of our patients and communities.Salary InformationThe estimated annual salary for this role is $83,500 - $110,000, depending on location and experience.Job...

About Christus Health">Christus Health is a leading healthcare provider dedicated to delivering high-quality patient care. Our organization is committed to fostering a collaborative and supportive environment that promotes the well-being of our patients, employees, and communities. Job SummaryWe are seeking an experienced Medical Necessity Appeal Nurse...

Job DescriptionThis position is a crucial part of our team at Christus Health, focusing on medical necessity appeals and denials management. We are seeking a highly skilled Clinical Appeals Nurse to join our staff.About the RoleWe strive to provide exceptional patient care, and this role plays a vital part in ensuring that our patients receive necessary...

About the RoleWe are seeking an experienced Clinical Appeals and Denial Management Nurse II to join our team at Christus Health. This is a full-time position that offers a competitive salary of $83,000 - $95,000 per year.Job SummaryThe Clinical Appeals and Denial Management Nurse II will be responsible for managing appeals of medical necessity denials from...

Job Summary:The Clinical Appeals Nurse II is a critical role at Christus Health, responsible for managing denial and appeal processes from third-party payers. This position requires strong case analysis skills and the ability to coordinate with healthcare teams to resolve issues related to medical necessity.

About the Role:">We are seeking a highly skilled and experienced Clinical Appeals Nurse to join our team at Christus Health. As a Clinical Appeals Nurse, you will be responsible for managing and communicating denials/appeals received from third-party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level...

**About Christus Health**We are a faith-based, nonprofit health system committed to serving our communities with compassionate and exceptional care.**Compensation & Benefits**We offer a competitive salary range of $ $94,000 - $117,000 per year, depending on experience, plus comprehensive benefits, including medical, dental, vision, and retirement plans.**Job...

Job DescriptionWe are seeking a dedicated and detail-oriented RN Clinical Appeals Nurse to join our team at Christus Health. As a key member of our clinical appeals process, you will play a crucial role in ensuring that patients receive the medical care they need.Responsibilities:Review and analyze governmental denial rationales to provide appropriate...

Christus Health seeks a skilled Clinical Necessity Denials Specialist to manage and communicate denials/appeals received from third-party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This position involves reviewing cases based on clinical guidelines, facilitating the appeal process,...

We are seeking a skilled Clinical Denial Specialist RN to join our team at Christus Health.Job SummaryThe Clinical Denial Specialist RN manages the process of denials and appeals from third-party payers and government entities, focusing on medical necessity and level of care. This role serves as a liaison for clinical denials inquiries, reviews cases against...

Job OverviewWe are seeking a skilled and compassionate Mobile Research Nurse to join our dynamic team at WEP Clinical. As a key member of our clinical research team, you will play a crucial role in ensuring the successful execution of research studies.Salary and BenefitsThe hourly rate for this position is $55/hour onsite and $50/hour travel time, with...

Job Description:Clinical Appeals and Denial Management Role at Christus HealthThe Medical Necessity Specialist II manages the process of denials and appeals from third-party payers and government entities, focusing on medical necessity and level of care. This role serves as a liaison for clinical denials inquiries, reviews cases against established...

Job Title: Clinical Nurse SpecialistJob Summary:The State of Oklahoma is seeking a highly skilled Clinical Nurse Specialist to join our team. As a Clinical Nurse Specialist, you will provide direct care services at county health departments, with primary responsibility being quality improvement efforts of clinical services and management of community health...

About the RoleWe are seeking a skilled Clinical Nurse Specialist to join our team at Houston Methodist Hospital. As a seasoned Registered Nurse, you will have the opportunity to work with a diverse patient population and contribute to the delivery of exceptional patient care.Job DescriptionThe Clinical Nurse Specialist will be responsible for providing...