appeals nurse Jobs NY

license.** **Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine ...

Created: 2024-05-15

Nurse Practitioner - ISNP (Full-Time)

Centers Plan for Healthy Living - Brooklyn, NY

Nurse Practitioner - ISNP (Full-Time) Brooklyn, NY, USA Req #363 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ...

Created: 2024-04-30

Long Term Care Nurse Specialist (NY Only)

Centene Corporation - Bronx, NY

term care services + Assist member with filing and resolving complaints and appeals + Direct care to participating network providers + Participate in care ...

Created: 2024-05-09

UM Care Review Clinician IP LPN or LVN ...

Molina Healthcare - Bronx, NY

Utilization Management (UM) is highly preferred. Additional experience with appeals , quality review, MLTC/LTC experience, and experience with data

Created: 2024-05-15

Manager Care Coordination

Crouse Hospital - Syracuse, NY

authority include Utilization Management, Discharge Planning and Denials and Appeals functions. General operational oversight including hiring training and

Created: 2024-04-12

Medical Oncology Medical Director - ...

Elevance Health - Middletown, NY

and providers. **Job Summary:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care. + ...

Created: 2024-05-02

RN - MDS Coordinator

Elderwood - Waverly, NY

Salary $36.00 - $52.00 Overview Are you a Registered Nurse (RN) with Medicare experience Do you consider yourself an expert in assessment and reimbursement

Created: 2024-05-07

UM RN

Centers Plan for Healthy Living - Staten Island, NY

and plans they need for healthy living. JOB SUMMARY: The Utilization Management nurse works within a multidisciplinary team to help identify and manage ...

Created: 2024-04-30

Physical Therapy Reviewer

Centers Plan for Healthy Living - Queens, NY

and plans they need for healthy living. JOB SUMMARY: The Utilization Management nurse works within a multidisciplinary team to help identify and manage ...

Created: 2024-04-30

American Red Cross, CPR Instructor PT with ...

American Red Cross - Albany, NY

courses in First Aid, CPR/AED, Babysitter's Training, Lifeguard Training, Certified Nurse Aid Training, and other certification courses. American Red Cross ...

Created: 2024-04-23