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MEDICAL NECESSITY APPEALS MANAGER (RN)

Leads a team of Clinical Appeal staff who pursue denials on behalf of Managed Resources Clients. Provides support to Clinical Appeals staff and serves as a resource and subject matter expert. Conduct reviews and assists in feedbac...

CompanyManaged Resources
AddressRemote
CategoryHealthcare
Salary$88,000 - $110,000 a year
Job typeFull-time
Date Posted 11 hours ago See detail

Medical Necessity Appeals Manager (RN) New

Managed Resources

Remote

$88,000 - $110,000 a year

Leads a team of Clinical Appeal staff who pursue denials on behalf of Managed Resources Clients. Provides support to Clinical Appeals staff and serves as a resource and subject matter expert. Conduct reviews and assists in feedbac...

(RN) Nurse Case Management Lead Analyst - Evernorth Health Services -Remote New

The Cigna Group

Pittsburgh, PA

$75,300 - $125,500 a year

Customer Strong: I deliver world-class experiences for all my customers. Me to We: I take accountability to trust, partner, and deliver. Own It: I see a need and deliver value because I care. Evolve and Adapt: I learn and adapt to...

Telephonic Workers Compensation Nurse Case Manager New

Liberty Mutual

Tampa, FL

$65,600 - $122,400 a year

Follows Liberty Mutual's established standards and protocols to effectively manage assigned caseload of medical/disability cases and by applying clinical expertise assist to achieve optimal outcome and to facilitate claim resoluti...

Printing/Mailroom Manager (Mailroom/Printing Department) New

County Of Berks

Reading, PA

$51,402 - $77,102 a year

Oversees and assists with the printing and sealing of pressure-sealed forms including County Tax Bills, Jury Summons, Jury Recalls, Tax Claim Notices, Assessment Notices, Election Forms, and Dunning Notices. Adheres to the strict...

Care Manager II (RN) New

Arizona Complete Health

Tempe, AZ

$66,100 - $118,900 a year

Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Utilize assessment skills and discretionary judgme...

Oncology Nurse Case Manager New

United Claim Solutions Llc

Remote

Coordinate and manage healthcare services for oncology patients, ensuring comprehensive care delivery and effective communication among healthcare providers. Assess patients' healthcare needs and develop personalized care plans ba...

Full-Time Store Manager Trainee New

Aldi

Tomah, WI

$26.25 an hour

Estimate may vary by location. Consistently demonstrate the Mindsets, ALDI Acts Competencies and Professional Skills (M.A.P.) as outlined for the role. Supervises the day-to-day operations and performance of the team to provide th...

ADMINISTRATIVE NURSING MANAGER New

Montefiore Medical Center

Bronx, NY

$160,000 - $206,500 a year

The Administrative Nurse Manager actualizes the vision, mission, values, and balanced scorecard performance measures for Montefiore Medical Center. The Administrative Nurse Manager participates in performance improvement/research...

Nursing Manager/Director-2 New

Berwick Health

Circleville, OH

$187,000 a year

The Nursing Manager/Director will also be responsible for optimizing efficiency, managing budgets, and fostering a positive work environment that promotes professional growth.Responsibilities and Duties:1. Provide leadership, guid...

Case Manager / RN New

Medwatch Llc

Remote - Florida, United States

From $72,000 a year

The Registered Nurse Case Manager will practice within the scope of his/her licensure. Review all medical data which can be provided to establish, update and maintain accountability for a case management plan which will incorporat...

Remote RN Case Manager New

Medex Reviews

Texas, United States

$55,000 - $65,000 a year

Work-from-home days. Relaxed atmosphere. Flexible schedule. Monday to Friday. Weekends as needed. Office. Remote. High school or equivalent (Preferred). Nursing: 3 years (Preferred). Case management: 1 year (Preferred). RN (Requir...

Deli/Bakery Manager New

Hansen's Iga

Westby, WI

$13 - $17 an hour

Meet gross P/L goals established by the corporate office. Understand pricing and accurately price products. Serve our customer's needs by supplying them with desired deli items. Professionally handle customer concerns and/or compl...

General Manager - Hampton Inn La Crosse/Onalaska New

Oci Hospitality

Onalaska, WI

$31 - $39 an hour

Develops, coordinates and implements all day-to-day operations of the hotel Directs efforts related to team member staffing including recruitment, orientation, training & development, scheduling, counseling, performance management...

WXOW Assignment Manager New

Wxow News 19

La Crescent, MN

401(k). 401(k) matching. Dental insurance. Employee assistance program. Flexible spending account. Health insurance. Health savings account. Life insurance. Paid time off. Vision insurance. 8 hour shift. Monday to Friday. Organiza...

Full-Time Assistant Manager New

Cinemark Usa, Inc

Mishawaka, IN

$31.7K - $40.1K a year

Employee Discount 401k Growth Opportunities Education Assistance Health Benefits Parental Leave Paid Time Off Follows the direction of the General Manager Supports General Managers decisions in communication with the staff Respon...

Property Management Associate New

Clear Investment Group

Chicago, IL

$55,000 - $75,000 a year

Get it Done 2. Ride the Wave 3. Add Value 4. Exhibit Passion Base Salary: $55,000-$75,000 based on experience Eligible for year-end and performance bonuses Access to 401k Health & dental insurance Generous PTO policy Seasoned (3-5...

Property Manager New

Waterton

Chicago, IL

Supervise and schedule all associates within the community. Manage the employment cycle, to include: recruitment, selection, hiring, onboarding, training, development, performance management, and coaching. Ensure community is adeq...

Assistant Property Manager New

Wpd Management

Chicago, IL

$48,000 - $50,000 a year

401(k). 401(k) matching. Dental insurance. Health insurance. Life insurance. Paid time off. Referral program. Vision insurance. No experience needed. 8 hour shift. Monday to Friday. Driver's License (Required)....

ACCOUNTING MANAGER New

Property Management, Inc.

United, PA

We are an EMPLOYEE-OWNED COMPANY! Earn company stock at no cost to you. 401(k) with employer match. Medical/Dental/Vision insurances. Short term and Long-Term Disability options (some company paid!). Generous PTO. Paid Holidays. E...

ACCOUNTING MANAGER New

Property Management, Inc.

United, PA

We are an EMPLOYEE-OWNED COMPANY! Earn company stock at no cost to you. 401(k) with employer match. Medical/Dental/Vision insurances. Short term and Long-Term Disability options (some company paid!). Generous PTO. Paid Holidays. E...

Full-Time Assistant Store Manager New

Aldi

Michigan City, IN

$24 an hour

Assists the direct leader with developing and implementing action plans to improve operating results. Establishes and communicates job responsibilities and performance expectations to their direct reports to ensure mutual understa...

Bookeeper/Office Manager New

Clearcut Exterior Building Solutions

Woods Cross, UT

$65,015 - $76,545 a year

Modern office setting. Food provided. Modern office setting. Work-from-home days. Growth opportunities. 401(k). 401(k) matching. Flexible schedule. Paid sick time. Paid time off. 2 years. 3 years. Monday to Friday. Bonus opportuni...

Office Manager New

Personal Care Agency

Olive Branch, MS

$20 - $30 an hour

401(k). Dental insurance. Health insurance. Vision insurance. Monday to Friday. Olive Branch, MS 38654: Relocate before starting work (Required)....

Managing Quantity Surveyor - CR3 New

Cv Library

Royston, GA

!Are you ready to be a part of a pioneering project that will shape the future of hydrogen fuel cell technology?I am seeking a highly skilled and experienced Managing Quantity Surveyor to lead a commercial team on a ground breakin...

Business Office Manager | Traveling New

Tutera Senior Living & Health Care

Remote

$65,000 - $75,000 a year

Excellent starting wage! PTO. Paid Holidays. Birthday Holiday. 401K with Matching Contributions. Tuition Assistance. Low-Cost Medical Insurance. Dental Insurance. Vision Insurance. Life Insurance. Critical Illness Insurance. Short...

IT Application Senior Manager New

Procter & Gamble

Cincinnati, OH

Local telecommuting permitted up to 1 day per week.Job QualificationsRequires a Bachelors degree in Electrical Engineering, Computer Engineering, Computer Science, Information Technology, or a related field and 5 years of hands o...

Office Manager/Administrator New

Trublue Of Edina

Remote

Regular Work Hours. Flexible Scheduling. TruBlue t-shirts, polos, and other company gear. Maintain communication with customers via our office phone system, texting, and emails. Schedule meetings with potential customers for our e...

Civil Engineering Project Manager , Land Development - Suwanee, GA New

Cv Library

Suwanee, GA

It is an opportunity to be part of a diverse and engaged community of professionals, to be treated as a respected and valued member of a motivated team and to be empowered to do exceptional work that advances the best interest of...

Store Manager In Training New

Cvs Health

Pennsylvania, United States

Communicate well verbally and in writing to support and lead your team.. Perform customer care duties to provide high levels of service.. Execute merchandising strategies to support store sales growth.. Manage the store inventory...

Analyst, Case Management New

Cvs Health

Richmond, VA

Bachelors Degree in a Health-related Field. 1+ year(s) Care coordination, discharge planning and/or home health care coordination experience preferred. Confidence working at home/independent thinker, using tools to collaborate an...