- Baptist Memorial (Memphis, TN)
- …Education assistance/continuing education + Employee referral program Job Summary: Position: 3484 - Specialist - Denial II RN Facility: BMHCC Corporate ... years clinical experience and 3-5 years case management or denial management experience. Minimum: RN , 5 years clinical experience in a clinical care setting.… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Trinity Health (Farmington Hills, MI)
- …and professional behavior. **MINIMUM QUALIFICATIONS** Must possess a demonstrated knowledge of denial management functions. Registered Nurse and a graduate ... of many payers and appeals types, coordinates and may lead denial management processes (Clinical and Administrative/Technical accounts, focusing upon retrospective… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will...on the referral determination status. Generates approval, modification and denial communications to include member and provider notification of… more