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APPEALS NURSE CONSULTANT (REMOTE)

We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordab...

CompanyCvs Health
AddressHartford, CT
CategoryInformation Technology
Date Posted 20 hours ago See detail

Appeals Nurse Consultant (Remote) New

Cvs Health

Hartford, CT

We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordab...

Remote Licensed Psychiatric Nurse Practitioner - Now Hiring New

Headway

Miami, FL

$156.00 - $206.00 per hour

Accept insurance hassle-free by credentialing you with the nations largest networks and handling the billing and admin paperwork for you.. Maintain a flexible schedule by deciding how many clients you see through Headway, so that...

Nurse Care Manager Remote ( Minnesota)

Signallamp Health

Minneapolis, MN

Engage in regular check-ins with patients: Discuss changes since the last conversation, follow up on appointments, and understand any new instructions from their doctor. Delve into rich conversations and bond with patients, unders...

RN - Utilization Management Nurse 2 - Remote - Florida Region

Humana

Vermont, United States

$69,800 - $96,200 a year

Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action 3-5 years of prior clinical experience preferably in an acute care hospital, skilled or rehabilitation clinical setting Comprehensive knowledge...

Licensed Vocational Nurse - REMOTE

Adecco

Woonsocket, RI

$ 27 - $ 28.09 / Hour

Refer prior authorization cases not meeting clinical criteria for upper-level review when appropriate.. Must possess excellent communication skills, both written and verbal.. Shift priorities while exhibiting a high level of urg...

Occupational Health Nurse Case Manager (REMOTE)

Baker Hughes

Houston, TX

Providing guidance and consultation to HSE and HR on aspects of Occupational Health related to ADA, Mandatory Medical Assessments, Medication Clearance, Accommodations, Workers Compensation compliance, and Travel Health Services...

Clinical Nurse Navigator-Days (Not Remote)

University Hospitals

Ohio, United States

DescriptionProvides virtual clinical care to patients within the recognized scope of practice for the profession and professional licensure requirementsProvides clinical triage and clinical support using established protocols duri...

Registered Nurse Clinical Denials & Appeals Reviewer

Administrative Regional Training Cntr

Buffalo, NY

$36.19 - $54.29 an hour

Registered Nurse with a current New York State license Bachelor of Science Nursing degree Holds, or will obtain within one (1) year of hire, one of the following (or similar) credentials: Certified Documentation Specialist, Certif...

UM Nurse Consultant (Remote)

Cvs Health

Albany, NY

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. Gathers clinical informati...

Clinical Appeals Nurse (RN) TEXAS and NEW MEXICO - Now Hiring

Molina Healthcare

Houston, TX

The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals request has been made or upon request by another Molina department to reduce the likelihood of a formal appeal...

Psychiatric Nurse Practitioner-Remote or Hybrid

Essen Health Care

New York, NY

is a growing community healthcare network provides high quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a population health model of care...

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...

Licensed Psychiatric & Family Nurse Practitioner (NP) – Remote

Cvs Health

Harrisburg, PA

Provide holistic, evidenced-based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, psychiatric diagnosis and prescribing, mental health counseling and disposition plann...

Registered Nurse-Case Manager-Remote

Hireops Staffing, Llc

Skokie, IL

$45 - $52 an hour

Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtai...

Nurse Practitioner (NP) Director of Clinical Quality (REMOTE)

Vesta Healthcare

Remote

$145,000 - $165,000 a year

Develop, design, revise, and execute our comprehensive Clinical Quality program and educate the team on continuous quality improvements. Collaborate extensively with Nurse Practitioners, collaborating physicians, nursing staff, ot...

Fully Remote Assistant Director of Nursing Homecare

Caring Bees Healthcare

Remote

From $80,000 a year

Medical insurance (only covered for Massachusetts residents). Dental Insurance. Vision Insurance. Life Insurance. Disability Insurance. Accidental Insurance. Paid Time Off. Sick Time. 401k 3% Match. In the absence of the Director...

Registered Nurse RN Arizona Long Term Care Case Manager Remote

Banner Health

Tucson, AZ

$33.08 - $55.13 an hour

Primary City/State:Arizona, ArizonaDepartment Name:Work Shift:DayJob Category:Clinical CareYou have a place in the health care industry. These recognitions reflect Banner Health's investment in team members' professional developme...

Psychiatric Mental Health Nurse Practitioner (PMHNP) - Remote - Now Hiring

Rula Health

Tucson, AZ

$120.00 to $240.00 hourly

2+ years as a psychiatric Nurse Practitioner with experience with Mental Health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations. An unrestricted license and...

Access Care- UMC--Registered Nurse-36 Hours-Midnights-Remote Work-Detroit

Henry Ford Health

Detroit, MI

Under minimal supervision, reviews and screens the recommended admission cases at Henry Ford Health Network emergency rooms. Combines clinical and regulatory knowledge and skill to reduce significant financial risk and exposure du...

Remote Licensed Psychiatric Nurse Practitioner

Headway

Phoenix, AZ

$147.00 - $205.00 per hour

Accept insurance hassle-free by credentialing you with the nations largest networks and handling the billing and admin paperwork for you.. Maintain a flexible schedule by deciding how many clients you see through Headway, so that...

Psychiatric Mental Health Nurse Practitioner - Remote (1099 Independent Contractor)

Rula Health

Las Vegas, NV

$120.00 to $240.00 hourly

2+ years as a psychiatric Nurse Practitioner with experience with Mental Health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations. An unrestricted license and...

Psychiatric Mental Health Nurse Practitioner (PMHNP) - Remote - Now Hiring

Rula Health

Greensboro, NC

$120.00 to $240.00 hourly

2+ years as a psychiatric Nurse Practitioner with experience with Mental Health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations. An unrestricted license and...

Remote Family Nurse Practitioner (Field visits required)

Molina Healthcare

West Sacramento, CA

Provide general medical care and care coordination to various and/or specific patient levels adults, womens health, pediatric, and geriatric. Perform comprehensive evaluations including history and physical exams for gaps in ca...

Psychiatric Mental Health Nurse Practitioner - Remote (1099 Independent Contractor) - Now Hiring

Rula Health

Albuquerque, NM

$120.00 to $240.00 hourly

2+ years as a psychiatric Nurse Practitioner with experience with Mental Health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations. An unrestricted license and...

Remote Family Nurse Practitioner FNP (field visits required)

Molina Healthcare

Sacramento, CA

Provide general medical care and care coordination to various and/or specific patient levels adults, womens health, pediatric, and geriatric.. Perform comprehensive evaluations including history and physical exams for gaps in c...

Psychiatric Nurse Practitioner for Remote Telepsychiatry - FT - REMOTE

Spark Mental Health Centers

Scottsdale, AZ

Spark will provide insurance credentialing services. Change your schedule availability as desired with reasonable notice. Supervision is available, if needed. Spark is based in Arizona, but operates in many States. Spark is well f...

Remote Licensed Psychiatric Nurse Practitioner - Saint Louis, United States - Headway

Headway

United States

Accept insurance hassle-free by credentialing you with the nation's largest networks and handling the billing and admin paperwork for you. Maintain a flexible schedule by deciding how many clients you see through Headway, so that...

Denials and Appeals Representative in Remote Position at TeamHealth

Teamhealth

Remote

Career Growth Opportunities. Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment. 401K program (Discretionary matching funds available). Employee Assistance Program. Referral Pro...

Remote Family Nurse Practitioner (Field visits required)

Molina Healthcare

San Diego, CA

Provide general medical care and care coordination to various and/or specific patient levels adults, womens health, pediatric, and geriatric.. Perform comprehensive evaluations including history and physical exams for gaps in c...

Remote Licensed Psychiatric Nurse Practitioner

Cbs17

Olin, NC

Accept insurance hassle-free by credentialing you with the nation s largest networks and handling the billing and admin paperwork for you. Maintain a flexible schedule by deciding how many clients you see through Headway, so that...