clinical claims review rn - appeals and grievances - remote nevada preferred Jobs - 686


VNS Health - New York,NY

OverviewConducts comprehensive assessment of member UAS-NY for potential new members and existing members' conditions clinical, environmental, and social to establish an individual plan of care needed to...

Date : 2025-03-15T06:12:47Z

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Independent Health - Buffalo,NY

FIND YOUR FUTURE We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. ...

Date : 2025-03-22T06:35:28Z

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Guthrie Health - Corning,NY

*Up to a $15,000 sign-on bonus!* *Pay Range: $35 - $50.03* *Additional differentials available for educational level, shifts, and some specialty units.* *Please contact Kayla Shumaker for more information at...

Date : 2025-03-22T08:22:45Z

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Lancesoft - Utica,NY

LanceSoft is seeking a travel nurse RN Home Health for a travel nursing job in Utica, New York. Job Description & RequirementsSpecialty: Home HealthDiscipline:...

Date : 2025-03-21T06:45:00Z

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Molina Healthcare - Buffalo,NY

**EMERGENCY ROOM ADMISSIONS REVIEW NURSE****_2 openings for 12 hour NIGHT SHIFT: 7:30PM (in the evening) - 08:30AM (in the morning) PACIFIC HOURS NON EXEMPT, 3 days a week will rotate._****_TRAINING SCHEDULE WILL BE Monday thru Friday 8:30AM to...

Date : 2025-03-12T10:29:09Z

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MJHS - New York,NY

Req #: 2770 Job ID: 14276 Job Location: New York, NY Zip Code: 10041 Category: Managed Care Nursing Agency: Elderplan ...

Date : 2025-03-22T18:50:38Z

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CWS Health - New York,NY

CWS Health is seeking a local contract nurse RN Wound Care for a local contract nursing job in New York, New York. Job Description & RequirementsSpecialty: Wound...

Date : 2025-03-16T06:33:53Z

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Medix™ - New Hyde Park,NY

Job Title: Utilization Management / Appeals RN Experience: UM, UAS, Appeals, or strong analytical/clinical background to do claims adjudication. ***Must have...

Date : 2025-03-21T11:17:19Z

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Northwell Health - Bronx,NY

Bronx, NY? Schedule: M-F, 8:30 am to 5:30 pm? Work Location: Hybrid Assignment Length: Undetermined, potential for Direct Hire ? Flex. Staff is seeking a Claims Specialist for our client, a non-profit healthcare organization providing home and...

Date : 2025-03-23T11:48:18Z

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CDPHP - Albany,NY

Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based...

Date : 2025-03-21T14:08:23Z

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