grievance & appeals nurse specialist Jobs - 156
Grievance and Appeals Clinical Specialist
VNS Health - New York,NY
Employment Type : Full-Time
Overview Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines - Managed Long-Term Care (MLTC), Medicare Advantage (MA), or Select Health. Ensures regulatory compliance,...
Local Contract Nurse RN - Case Management - $50-55 per hour
WCS Healthcare Partners - Queens,NY
Employment Type : Full-Time
WCS Healthcare Partners is seeking a local contract nurse RN Case Management for a local contract nursing job in Queens, New York. Job Description & RequirementsSpecialty:...
Manager-Clinical Document Improvement (Outpatient) (Hybrid position) (Office located in Manhattan) New York, NY
NYU Langone Health - New York,NY
Employment Type : Full-Time
Manager-Clinical Document Improvement (Outpatient) (Hybrid Position) (Office Located in Manhattan) Health Information Management New York, NY Full-Time/Regular NYU Langone Health is a world-class, patient-centered,...
Clinical Appeals Nurse (RN)
Molina Healthcare - Yonkers,NY
Employment Type : Full-Time
JOB DESCRIPTION Job Summary Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance...
Clinical Reviewer, G & A
EmblemHealth - New York,NY
Employment Type : Full-Time
Summary of Position Perform clinical and administrative reviews within the Grievance and Appeals department, ensuring accurate administration of benefits, execution of clinical policy, timely access to appropriate levels of...