Jobs: appeals nurse

Nurse Appeals- California candidates only Location:This is a virtual position and prefer candidates reside within 50 miles of an Elevance Health PulsePoint location. Schedule:Monday - Friday 8:00 am to 4:30 pm PST How you will make an impact: Responsible for investigating and processing and medical necessity appeals requests from members and providers....

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, 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

Conducts investigations and reviews of member and provider medical necessity appeals. Reviews prospective, inpatient, or retrospective medical records of denied services for medical necessity. Extrapolates and summarizes medical information for medic Appeals, Nurse, Medical Director, Skills, Healthcare, Compensation, Benefits

Job Description Job Description LVN RANGE $38.91-$55.62 RN RANGE $50-$85 Job Description: Conduct and investigate member and provider medical necessity appeals Review prospective, inpatient, and retrospective medical records of denied services for medical necessity Ensures appeals and grievances are resolved in a timely manner Prepare clinical reviews and...

The Appeals Nurse Consultant position is responsible for processing the medical necessity of Medicare appeals for participating providers. Primary duties may include, but are not limited to: Requesting clinical, research, extrapolating pertinent clin Appeals, Nurse, Consultant, Remote, Health, Technology, Retail, Benefits

The Appeals Nurse Consultant position is responsible for processing the medical necessity of Medicare appeals for participating providers. Primary duties may include, but are not limited to: Requesting clinical, research, extrapolating pertinent clin Appeals, Nurse, Consultant, Remote, Health, Technology, Retail, Benefits

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, Technology, Retail

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, Technology, Retail

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

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

Nurse Appeals- California candidates only Location:This is a virtual position and prefer candidates reside within 50 miles of an Elevance Health PulsePoint location. Schedule:Monday - Friday 8:00 am to 4:30 pm PST Saturdays and Holidays required How you will make an impact: Responsible for investigating and processing and medical necessity appeals requests...

Job Title: Grievance and Appeals Nurse SpecialistCalOptima Health is seeking a highly motivated an experienced TEMP - Grievance & Appeals Nurse Specialist to join our team.The Grievance and Appeals Nurse Specialist participates in managing CalOptima Healths medical appeals and state hearing reviews for all lines of business, including handling expedited...

Nurse Appeals- California candidates only Location:This is a virtual position and prefer candidates reside within 50 miles of an Elevance Health PulsePoint location. Schedule:Monday - Friday 8:00 am to 4:30 pm PST Saturdays and Holidays required How you will make an impact: Responsible for investigating and processing and medical necessity appeals requests...

Job DescriptionJob DescriptionLVN RANGE $38.91-$55.62RN RANGE $50-$85Job Description: Conduct and investigate member and provider medical necessity appealsReview prospective, inpatient, and retrospective medical records of denied services for medical necessityEnsures appeals and grievances are resolved in a timely mannerPrepare clinical reviews and provides...

Summary: Responsible for the management and communication of 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 associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse will review...

Job Description Summary: Responsible for the management and communication of 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 associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical...

Job Description Summary: Responsible for the management and communication of 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 associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals...

DescriptionSummary: Responsible for the management and communication of 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 associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse...