Appeals jobs in Elizabeth, New Jersey (NJ) State

Familiarity with Appeals & Hearings is required. Expertise within the Hearings & Appeals function is strongly preferred. Education: - Law degree highly preferred - Bachelor's degree in relevant field of study and 5+ years of relevant professional experience required Experience: ...

This position is a dynamic role requiring the evaluation of disability claim appeals. In addition to managing a caseload of complex appeals, this position may offer the opportunity to identify trends to optimize the performance of the organization including providing feedback, initiating continuo...

Direct daily work on part C appeals (both provider and member/nonparticipating providers) and Part D appeals. Responsibilities of this Medical Director role are related to Medicare Appeals. Provide after hours and weekend coverage on a rotational basis to support 24/7 appeals work. Provide ongoin...

As a DRG Downgrade Appeals Clinician, you will have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor. You will perform retrospective clinical case reviews and draft appeals that focus on estab...

Licensed as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN) in the State of Florida. The PACU Registered Nurse independently plans, implements, and evaluates nursing care in patient care situations using standards of care and policy and procedure. ...

Host Healthcare is an award-winning travel healthcare company with an immediate opening for this .Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home.Starting the day you appl...

Host Healthcare is an award-winning travel healthcare company with an immediate opening for this .Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home.Starting the day you appl...

TravelNurseSource is working with Coast Medical Service to find a qualified Case Manager RN in Morristown, New Jersey, 07960!. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. Confront divers....

Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.What are you waiting for? Apply today!.Valid license and/or certification in state of practice, if applicable .Demonstrated ability to maintain hig...

VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Hoboken, New Jersey. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review meth...

TravelNurseSource is working with Amare Medical Network to find a qualified Case Manager RN in Blackwood, New Jersey, 08012!. Case managers work to facilitate patient care by a. ...

Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. ...

We are currently seeking qualified candidates for RN.Day 1 Medical, Health, Dental, Vision....

Ready to learn more? Apply today to start your Travel Adventure with LRS Healthcare!. ...

At Stability, we have built a nurse friendly platform that simplifies finding travel nursing jobs without the need for a recruiter.We believe in pay transparency and that is why we aggregate thousands of jobs from hospitals hourly displaying full pay rates creating a no-haggle no-hassle job searc...

Registered Nurse - Case Management. TRS Healthcare is seeking a Registered Nurse who is licensed to work in NJ, and has Case Management experience. RN Registered Nurse License/Certification. ...

Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. ...

TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Morristown, New Jersey, 07962!. A diverse range of assignments on your resume showcases your adaptability, versatility, and resilience. ...

TravelNurseSource is working with Triage Staffing to find a qualified OR RN in Neptune City, New Jersey, 07753!. Travel nurses may find themselves in challenging situations that require effective crisis management. ...

The Telemetry Nurse carries out patient assignments and assumes primary care responsibilities that promote health, prevent illness, restore health, and ease suffering for patients released from intensive care, but still require close monitoring for signs of physical distress or danger. Telemetry ...

ARMStaffing is looking for RN - Case Management in Morristown, New Jersey. ...

VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Secaucus, New Jersey. Coordinates external case reviews requested by enrollees, including preparing and submitting documentation according to regulatory requirements and tracking external reviews througho...

Host Healthcare is an award-winning travel healthcare company with an immediate opening for this .Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home.Starting the day you appl...

Case managers work to facilitate patient care by a. ...