Appeal Nurse jobs
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NURSE APPEALS (RN)
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...
| Company | Elevance Health |
|---|---|
| Address | HENDERSONVILLE, TN |
| Category | Healthcare |
| Date Posted | a week ago See detail |
Nurse Appeals (RN)
Elevance Health
HENDERSONVILLE, TN
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...
a week ago seen See more...
- View all - jobs in HENDERSONVILLE, TN
AR Clinical Appeals Nurse - Hybrid
Uofl Health
Louisville, KY
Ensures clinical interventions are appropriate for the admitting diagnosis and reflects the standard of care as defined by the medical staff and health system. Utilizes clinical knowledge and defined standards of care to proactive...
a month ago seen See more...
- View all Uofl Health jobs - jobs in Louisville, KY
Remote Clinical Denials and Appeals Nurse
Aspirion Health Resources Llc
Remote
From $68,000 a year
Manages complex and robust queue according to Aspirion and client needs. Queue size varies weekly. Reviews insurance denials, including but not limited to, medical necessity denials, patient status denials (i.e., Inpatient vs. Out...
2 months ago seen See more...
- View all Aspirion Health Resources Llc jobs
Clinical Appeals Nurse
Caresource
Remote
$60,300 - $96,500 a year
Responsible for the completion of Clinical Appeals and state hearings from all states Review and complete all provider Clinical Appeals within required timeframes Review and complete member Clinical Appeals within required timefra...
2 months ago seen See more...
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Nurse Appeals (RN)
Elevance Health
WOODLAND HILLS, CA
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...
2 months ago seen See more...
- View all Elevance Health jobs - jobs in WOODLAND HILLS, CA
Appeals & Grievance (A&G) Registered Nurse (RN)
Ust
United States
$51,000 - $77,000 a year
Investigate and process complex grievances and appeals requests from members and providers. Perform reviews of inpatient, outpatient, ambulatory and ancillary services for medical necessity. Review, research, and prepare documenta...
2 months ago seen See more...
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