STAR+PLUS Appeals Nurse RN in Houston, TX for Harris Health

Use this area to filter your search results. Each filter option allows for multiple selections.

Discipline
Type
Level

Search Results: 793 Jobs

Create Notification

Physician (Psychiatrist) Medical Director - MH - Recruitment/Relocation Incentive/EDRP Authorized

Veterans Affairs, Veterans Health Administration

Fort Worth, Texas

NEW!

Insurance Mgmt Specialist I - Full Time, Hybrid, 9 AM - 5 PM, Monday - Friday, One Saturday, Atlantic Visiting Nurse, Morristown

Atlantic Health

Morristown, New Jersey

NEW!

Hospitalist PRN

CommonSpirit Health

Durango, Colorado

NEW!

RN - CICU

Nemours Children's Health

Orlando, Florida

NEW!

Malignant Hematology Specialist - Atlantic Health Morristown Medical Center

Atlantic Health

Morristown, New Jersey

NEW!

Certified Medical Assistant

Vanderbilt Health

Nashville, Tennessee

NEW!

Manager - Case Management (Full Time, Days)

Nicklaus Children’s Health System

Miami, Florida

NEW!

Medical Director, Transplant Nephrology

Lehigh Valley Health Network

Allentown, Pennsylvania

NEW!

Palliative Medicine - Physician - Fort Collins, Colorado

UCHealth

Fort Collins, Colorado

NEW!

Family Medicine - Physician - Rangeview - Loveland, Colorado

UCHealth

Loveland, Colorado

NEW!

Pediatric Occupational Therapist - Home Care - Full Time

Vanderbilt Health

Nashville, Tennessee

NEW!

OBGYN Hospitalist

Pediatrix Medical Group

Spokane, WA, USA

NEW!

Neurologist, Neuromuscular or Neurophysiologist - York/Hanover

UPMC

Spring Grove, Pennsylvania

NEW!

Monmouth Heart and Vascular Specialists Is Seeking a Full-Time Non-Invasive Cardiologist

RWJBarnabas Health

Long Branch, New Jersey

NEW!

Physician - Hospice & Palliative Care (HPC) Medical Director

Veterans Affairs, Veterans Health Administration

Martinez, California

NEW!

Medical Assistant PRN

Vanderbilt Health

Nashville, Tennessee

NEW!

Physician - CBOC Medical Director

Veterans Affairs, Veterans Health Administration

Framingham, Massachusetts

NEW!

Put Your Passions into Practice: Primary Care Opportunity with the VA in Santa Maria, CA!

Veterans Affairs, Veterans Health Administration

Santa Maria, California

NEW!

Physician (Medical Director)

Veterans Affairs, Veterans Health Administration

Florence, Kentucky

NEW!

Medical Director - Physician - MD/DO - Breast Imaging Radiologist

SSM Health

Bridgeton, Missouri

NEW!

Daytime Hospitalist | Coeur D'Alene, ID | Flexible Schedule | No Overnight Call|JO-2604-14628

Jackson Physician Search

Idaho

NEW!

Neonatologist

Pediatrix Medical Group

Webster, TX, USA

NEW!

Total Joint Arthroplasty Surgeon

RWJBarnabas Health

Toms River, New Jersey

NEW!

Care Manager RN

Baylor Scott & White Health

Dallas, Texas

NEW!

RN, Registered Nurse Patient Navigator - Chemotherapy - PRN

CHRISTUS Health

Santa Fe, New Mexico

STAR+PLUS Appeals Nurse RN

JOB SUMMARYSTAR +PLUS Appeals Nurse assists in the review of medical records submitted for appeals by providers due to adverse determination. Utilize evidence-based criteria, regulatory guidelines and Medical Affairs departmental policies for medical necessity and level of care determination. Provides written response of the outcome of the appeals finding to the appealing provider and member. Assists in the ongoing development and maintenance of a database for tracking, trending and reporting appeals cases.JOB SPECIFICATIONS Essential Functions1. Reviews and provides resolution of STAR+PLUS Appeals, per regulatory guidelines to providers for cases submitted for app

This job listing is no longer active.

Check the left side of the screen for similar opportunities.

Error