that affect member eligibility. Coordinates with other departments, e.g. Care Management, Legal Affairs, Grievance and Appeals.... Qualifications Licenses and Certifications: Current license to practice as a Registered Professional Nurse in New York State...
and passionate RN for our Appeals Nurse position. While supporting the Utilization Management team, the Appeals Nurse will conduct...Appeals Nurse VillageCareMAX 112 Charles Street, New York, NY 10014 VillageCare is looking for a self-motivated...
-centered care by taking your career - to the next level. Nurse Coordinator/RN - Urology - Queens Medical Group As a Nurse..., medication appeals, and supply orders. Oversee Medical Assistants and LPNs; coordinate provider schedules and patient follow-up...
staff FREE Online RN to BSN and MSN degree programs! Tuition Reimbursement for all full and part-time staff... Forgiveness Program (PSLF) Responsibilities The RN Coordinator will investigate and respond to written and/or verbal clinical...
Job Description: Description RN/Case Manager (Inpatient) Mount Sinai Morningside FT Days EOW The Case Manager (CM... appeals Communicates clinical information to the payor, as needed, coordinating direct communication between physician...
Job Description: Description RN/Case Manager MSH Case Management FT Days The Case Manager (CM.... d. Works collaboratively with physicians and managed care companies on concurrent denial appeals e. Communicates clinical...
Job Description: Description RN/Case Manager MSH Case Management FT Days The Case Manager (CM.... d. Works collaboratively with physicians and managed care companies on concurrent denial appeals e. Communicates clinical...
options. Qualifications Qualifications Current New York State RN license (required). Registered Nurse Assessment...MDS Manager (RN) New York, USA 85000-100000 Other Compensation $5,000 sign-on bonus Job Description MDS...
that affect member eligibility. Coordinates with other departments, e.g. Care Management, Legal Affairs, Grievance and Appeals.... Qualifications: Licenses and Certifications: Current license to practice as a Registered Professional Nurse in New York State...
of an accredited nursing program. Licensure: Must have an active and unrestricted New York State Registered Nurse (RN) license...Registered Nurse Clinical Reviewer / CPD - Remote (#25295) Location: Remote Employment Type: Full-Time Hourly Rate...
insurance appeals and review medical records. Responsibilities for Registered Nurse/Medicaid Clinical Reviewer - Remote...Registered Nurse/Medicaid Clinical Reviewer - Remote (#25291) Location: Remote Employment Type: Full-time Hourly...
Projects, and CMS Quality Projects. For RN Quality Reviewer only: Provides clinical support in the Grievance and Appeals... requirements. For RN Coder only: Audit Medical Record documentation for in home assessments and claims/encounters from various...
and appeals for patterns and trends. Provides reports and researches trends in denials. Educates regarding documentation... to support the patients admission (from the ED) and hospitalization stay. She/he will serve as on-site appeals coordinator...
and appeals for patterns and trends. Provides reports and researches trends in denials. Educates regarding documentation... to support the patients admission (from the ED) and hospitalization stay. She/he will serve as on-site appeals coordinator...