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The RN Clinical Appeals Nurse will actively manage, maintain and communicate denial/appeal activity to appropriate stakeholders, and report suspected or emerging trends related to payer denials.
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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.
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Provide on-going medical management and acute interventions for patients in the post-acute care setting, working directly with pediatric nurse practitioners within a group setting to provide direct patient care to skilled nursing and assisted living facilities and rehab patients.
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Chamberlain University is looking for a Nurse Student Learning Specialist to assist students with the mastery of material including didactic and clinical learning concepts, as well as patient care simulations.
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Three years acute care hospital or post-acute care experience or two years Emergency Medical Technician (EMT)/Paramedic experience or Graduate Nurse (GN) who will be retaking the NCLEX for RN licensure.
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Emergency room nurse, emergency nurse, ER nurse, ER RN, emergency room, trauma, trauma nurse, acute care nurse, registered nurse, RN, R.N., nursing, nurse, emergency, healthcare, health care, hospital.
$1,728.67 - $1,905.07 a weekFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Jerry is building the first AllCar™ super app to help people optimize all aspects of owning a car – insurance, buy/sell, registration, loans, safety, repairs, parking, etc – a $2T market in the U.S. We started with insurance in 2019, and since then we’ve launched loan refinancing, real-time driving insights, a repair marketplace, car diagnostics, and a GenAI-powered chatbot and voicebot.
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Endoscopy RN Contract Details: - $1,680 - $1,843 per week - 13-week contract with possibility to extend - AM shift available - Most contracts offer 10 or 12 hour shifts - Nurse will be expected to care for patients experiencing existing or potential GI tract problems - The ideal RN will have previous acute nursing experience and be comfortable with patients of all ages - Estimated weekly payment may include both taxable wages and tax-free reimbursements for meals, housing, and incidentals.
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POSITION FEATURES: Various schedules available (per diem, part time, full time) AZURA PURPOSE AND SCOPE: A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice registered nurse (APRN) who practices both autonomously and in collaboration with a variety of health providers on the interprofessional team to deliver high-quality, holistic, evidence-based anesthesia and pain care services.
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Act as liaison to other departments including Academic and Visa Affairs (AVA), Department of Clinical Education (DCE), Faculty and Academic Affairs (FAA), Visa and Immigration Services Administration (VISA) and Continuing Medical Education (CME.
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Medical, Dental, and Vision insurance. The Eligibility Specialist at Legacy Community Health is responsible for determining a patient's eligibility for third-party reimbursement by followingprocedures and guidelines specific to each program and making sure the patient does not have another payer source, such as Medicaid, Medicare, ADAP, or another third party insurance.
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The growing campus offers 253 beds and access to the most innovative medical and surgical care available, including cardiology and cardiovascular surgery; neurology and neurosurgery; comprehensive cancer care; orthopedics and sports medicine; gastroenterology; bariatrics; childbirth center with level III NICU; emergency care; and advanced imaging.
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Wyndham is now seeking a Guest Service Agent to join our team at the Wyndham Houston Medical Center location in Houston , Texas. Wyndham Houston Medical Center , 6800 Main Street , Houston , Texas 77030.
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Job Description & Requirements Specialty: Endoscopy Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Embark on a fulfilling journey as an endoscopy/GI nurse, where your skills aid in the diagnosis and treatment of gastrointestinal conditions.
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Other requirements to be determined by our client facility Benefits Weekly pay and direct deposit Full coverage of all credentialing fees Private housing or housing allowance Group Health insurance for you and your family Company-paid life and disability insurance Travel reimbursement 401(k) matching Unlimited Referral Bonuses up to $1,000 CEU reimbursement About Agency MedPro Healthcare Staffing is a Joint Commission certified provider of contract staffing services.
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medical insurance nurse rn jobs Title: admissions in Houston, Missouri-city, Missouri
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