- CVS Health (Hartford, CT)
- …this position are Monday-Friday 8a-5p in time zone of residence. Position Summary 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...a production role and remains as part of the Nurse Appeal Consultant job code. Primary duties… more
- CVS Health (Hartford, CT)
- …telework position. Hours for this role are Monday-Friday 8a-5p. Position Summary 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...a production role and remains as part of the Nurse Appeal Consultant job code. Primary duties… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... safety net required to achieve that purpose. Job Summary The Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for executing the… more
- CareFirst (Baltimore, MD)
- …of the Clinical Medical Claims Review, Medical Underwriting, Medical Policy, Clinical Appeals and Analysis programs and Quality of Care Complaint Unit. May lead ... that week. **ESSENTIAL FUNCTIONS:** + Directs the Medical Review and Appeals units and manages multiple strategic clinical projects that span organizational… more
- Sacramento County (Sacramento, CA)
- Registered Nurse D/CF (Level I/II) Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/454059) Apply Registered Nurse D/CF (Level I/II) ... at 5:00 pm on: 11/6/2023, 1/2/2024, 3/5/2024, 5/7/2024, 7/2/2024, 9/3/2024, 11/5/2024 Registered Nurse D/CF Level I: $59.32 - $72.10 hourly Registered Nurse D/CF… more
- Sacramento County (Sacramento, CA)
- Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply Licensed Vocational Nurse D/CF Salary ... 4/4/24, 7/5/24, 10/3/24 In a detention/correctional facility, the Licensed Vocational Nurse D/CF performs a wide variety of vocational nursing duties, including… more
- Sacramento County (Sacramento, CA)
- Registered Nurse Level I/II Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/2579173) Apply Registered Nurse Level I/II Salary $43.76 - ... Note: Vacancies may be permanent or intermittent on-call. Registered Nurse Level I: $43.76 - $53.19 hourly Registered ...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- American Red Cross (Rio Piedras, PR)
- …and their family and other attending healthcare professionals. + Act as a consultant to external health care personnel about clinical apheresis. + Assess patient ... Qualifications_** **):** + **Current state licensure as a Registered Nurse and CPR certification is required** **.** + **Bachelor's...make a difference by volunteering in a position that appeals to you and allows you to use your… more
- American Red Cross (Philadelphia, PA)
- …central venous catheters, and access vortex and bard ports. + Act as a consultant to external health care personnel about clinical apheresis. + The American Red ... **_WHAT YOU NEED TO SUCCEED (Minimum Qualifications):_** + **Registered Nurse with current state licensure as required.** + **A...make a difference by volunteering in a position that appeals to you and allows you to use your… more
- American Red Cross (Danvers, MA)
- …central venous catheters, and access vortex and bard ports. + Act as a consultant to external health care personnel about clinical apheresis. + The American Red ... YOU NEED TO SUCCEED (Minimum Qualifications_** **):** + **Registered Nurse with current state licensure as required.** + **Two...make a difference by volunteering in a position that appeals to you and allows you to use your… more
- Clark County, NV (Las Vegas, NV)
- …and oversees the work of contract professionals; negotiates and administers consultant contracts. Coordinates and assists in the processing of applications submitted ... retail or mail order fills) + 24/7 Telephone Advice Nurse - no employee cost + Teledoc, Doctoroo, and...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
- Highland General Hospital (Oakland, CA)
- …and internal compliance studies. + Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals . ... and/or techniques. + Review cases regularly with staff; acts as clinical consultant regarding care management issues; guides clinical staff with review of… more
- Highland General Hospital (Oakland, CA)
- …Medicare and internal compliance studies. -Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals ... equipment and/or techniques. -Reviews cases regularly with staff; acts as clinical consultant regarding care management issues; guides clinical staff with review of… more
- Sacramento County (Sacramento, CA)
- …of California to practice as a: Either: 1. Psychiatric Technician Or: 2. Registered Nurse Or: 3. Vocational Nurse Note: The word "experience" referenced in the ... language other than standard English; and/or act as a consultant to others regarding the needs and problems presented...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- City and County of San Francisco (San Francisco, CA)
- …of experience as a Licensed Psychiatric Technician or a Licensed Vocational Nurse providing psychiatric nursing care in a skilled facility or psychiatric acute ... permanent or temporary (including an interim permit) California Licensed Vocational Nurse License or Licensed Psychiatric Technician License. Applicants must meet… more
- Amgen (Roanoke, VA)
- …Must be able to effectively collaborate across all corporate functions-MSLs, TLLs, Nurse Coordinators, Field Access Team, supporting sales teams, etc. + Key account ... by better understanding the customer's needs + Serves as a resource/ consultant to customers and staff regarding payer policies and processes (eligibility… more
- American Red Cross (Danvers, MA)
- …courses in First Aid, CPR/AED, Babysitter's Training, Lifeguard Training, Certified Nurse Aid Training, and other certification courses. American Red Cross Training ... note: If you are contract personnel or an independent consultant to the American Red Cross, you must access...make a difference by volunteering in a position that appeals to you and allows you to use your… more