Remote Nurse Appeal jobs
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SR. PAYER POLICY RELATIONS ANALYST-ONCOLOGY -REMOTE (MEDICAL REVIEW-APPEALS)
Works directly with Oncology Segment Marketing Management teams to develop an understanding of existing and emerging technologies to provide education, appeals influence and insight pertaining to Payer Policy. Manage informational...
| Company | Labcorp |
|---|---|
| Address | Burlington, NC |
| Category | Sales/marketing |
| Salary | $75,000 - $105,000 a year |
| Job type | Full-time |
| Date Posted | just now See detail |
Sr. Payer Policy Relations Analyst-Oncology -Remote (Medical Review-Appeals) New
Labcorp
Burlington, NC
$75,000 - $105,000 a year
Works directly with Oncology Segment Marketing Management teams to develop an understanding of existing and emerging technologies to provide education, appeals influence and insight pertaining to Payer Policy. Manage informational...
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Appeals Nurse Consultant (Remote)
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...
6 days ago seen See more...
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RN Utilization Management Nurse - Remote in OR New
Optum
Portland, OR
Consistently exhibits behavior and communication skills that demonstrate Optums commitment to superior customer service, including quality, care and concern with each and every internal and external customer. Perform all function...
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Iowa - Psych Nurse Practitioner - Remote - At least 2 yrs exp required New
Forefront Telecare
Bettendorf, IA
Weekday rounds on approx. 12-16 patients Mon-Fri 7a-7p. Every other weekend, rounds on approx. 16 patients Mon-Fri 7a-7p. Weeknight call for admissions and med management Mon-Fri 7p-7a. Every other weekend call for admissions and...
15 hours ago seen See more...
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Registered Nurse-Access Care- UMC-36 Hours-Midnights-Remote Work-Detroit New
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...
18 hours ago seen See more...
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Psychiatric Mental Health Nurse Practitioner (PMHNP) - Remote New
Rula Health
Tampa, FL
$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...
21 hours ago seen See more...
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RN - Utilization Management Nurse 2 - Remote - Florida Region
Humana
Indiana, 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...
3 days ago seen See more...
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RN - Telephonic Utilization Management Nurse- Medicare- Remote - Southeast Region
Humana
Indiana, United States
$69,800 - $96,200 a year
Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Coordinates and communicates with providers, members, or other parties to facilitate appropriate discharge planning i...
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Appeals Nurse
Humana
Indiana, United States
$69,800 - $96,200 a year
Review medical documentation, obtain additional information that may be needed including timeframes when physician is available for peer to peer review, and forward to physician review companies or TQMC. Monitor and follow up for...
3 days ago seen See more...
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Remote Family Nurse Practitioner - Field visits required
Molina Healthcare
Houston, TX
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...
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(RN) Nurse Case Management Lead Analyst - Evernorth Health Services -Remote
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...
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Remote Licensed Psychiatric Nurse Practitioner - Now Hiring
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...
5 days ago seen See more...
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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...
7 days ago seen See more...
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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...
7 days ago seen See more...
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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...
a week ago seen See more...
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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...
a week ago seen See more...
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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...
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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...
2 weeks ago seen See more...
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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...
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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...
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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...
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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...
3 weeks ago seen See more...
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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...
3 weeks ago seen See more...
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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...
3 weeks ago seen See more...
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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...
3 weeks ago seen
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...
3 weeks ago seen
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...
4 weeks ago seen See more...
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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...
4 weeks ago seen See more...
- View all - jobs in Tucson, AZ
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...
4 weeks ago seen See more...
- View all - jobs in Detroit, MI
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...
4 weeks ago seen See more...
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