Job Seekers, Welcome to Managed Care Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Search Results: 953 Jobs
Create Alert
Loading... Please wait.
PIH Health Logo
PIH Health

Whittier, California

NEW! NEW!
Providence Logo
Providence

Eureka, California

NEW! NEW!
NEW! NEW!
NEW! NEW!
MultiCare Health System Logo
MultiCare Health System

Puyallup, Washington

NEW! NEW!
Optum Logo
Optum

Olympia, Washington

NEW! NEW!
Baylor Scott & White Health Logo
Baylor Scott & White Health

Temple, Texas

NEW! NEW!
NEW! NEW!
Benefis Health System Logo
Benefis Health System

Great Falls, Montana

NEW! NEW!
NEW! NEW!
Bay Area Hospital Logo
Bay Area Hospital

Coos Bay, Oregon

NEW! NEW!
Loading... Please wait.
Appeals and Grievance Nurse Registered Nurse II PRN
DescriptionSummary:Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process. The Clinical Appeals Nurse is responsible for appealing all inappropriate denials through all possible levels of the appeal process. The RN Clinical Appeals Nurse will actively manage, main


This job listing is no longer active.

Check the left side of the screen for similar opportunities.
Loading. Please wait.