Job Description: Medical Review and Appeals RN Lead II - BPM Who We Are: UST HealthProof is a trusted partner.... #Healthproof #CB #LI-MM5 #LI-Remote Skills: appeals and grievances,medical review,care plans,utilization review,clinical...
means to be part of Mass General Brigham. Job Summary The role is an integral part of our Appeals and Grievance review... and Credentials Massachusetts Registered Nurse (RN) required Experience At least 3-5 years of experience in clinical appeals...
such as a master's or RN preferred At least 5-7 years of health plan operations/appeals and grievance experience required At least 2... that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it...
Job Description: Utilization Review RN Lead II - BPM Who We Are: UST HealthProof is a trusted partner... all, equitably and effectively. You Are: UST HealthProof is searching for a highly motivated Utilization Review RN...
POSITION SUMMARY: The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible... with hospital policies, regulatory requirements, and payer guidelines while supporting efficient and effective utilization review...