Job Seekers, Welcome to MedSocieties Job Bank
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
NEW! NEW!
NEW! NEW!
UCHealth
Denver, Colorado
NEW! NEW!
NEW! NEW!
Lehigh Valley Health Network
Allentown, Pennsylvania
NEW! NEW!
NEW! NEW!
NEW! NEW!
Albany Medical Center
Albany, New York
NEW! NEW!
NEW! NEW!
Veterans Affairs, Veterans Health Administration
Danville, Illinois
NEW! NEW!
Nemours Children's Health
Orlando, Florida
NEW! NEW!
Jackson Physician Search
Texas
NEW! NEW!
RWJBarnabas Health
Jackson, New Jersey
NEW! NEW!
Radiology Partners
Hollywood, Florida
NEW! NEW!
NEW! NEW!
Nemours Children's Health
Wilmington, Delaware
NEW! NEW!
NEW! NEW!
Indiana University Health
West Lafayette, Indiana
NEW! NEW!
NEW! NEW!
NEW! NEW!
Jackson Physician Search
Arizona
NEW! NEW!
NEW! NEW!
NEW! NEW!
Duke University Health System
Durham, North Carolina
NEW! NEW!
NEW! NEW!
Loading... Please wait.
Appeals and Grievance Registered Nurse II - Clinical Appeals
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, maintain an
Loading. Please wait.