Appeals jobs in Hoboken, New Jersey (NJ) State

Office of Appeals Case and Operations Support Policy Planning Quality & Analysis AQMS. Performs closed case reviews involving very large amounts of tax in dispute and the most complex and difficult factual and/or legal issues, using Appeals Quality Standards and Attributes (AQSA). Interprets and ...

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...

Specialized experience for this position includes: Experience with Appeals policies, procedures and practices relevant to the Appeals collection work in order to work cases and resolve issues. Independent Office of Appeals: Case & Operations Support/Policy Planning Quality & Analysis/AQMS. Vacanc...

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: ...

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...

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...

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

TravelNurseSource is working with TRS Healthcare to find a qualified Case Manager RN in Turnersville, New Jersey, 08012!. 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...

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...

ARMStaffing is looking for RN - Case Management in Blackwood, New Jersey. Unit Details: 70770101-7028 Case Management (RN). ...

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...

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. ...

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

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 ARMStaffing to find a qualified Case Manager RN in Morristown, New Jersey, 07960!. ARMStaffing is looking for RN - Case Management in Morristown, New Jersey. Confront diverse medical cases that challenge and expand your skill set. Each assignment becomes a learni...

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...

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. ...

Travel Nursing: OR Neptune City, NJ.Location:         Neptune City, NJ.Start Date:       5/20/2024.Shift Details:   12H Nights (7:00 PM-7:30 AM).Length:            13 WEEKS 13 weeks.Apply for specific facility details....

TravelNurseSource is working with LRS Healthcare to find a qualified Telemetry RN in Brick, New Jersey, 08724!. Travel nurses often become more adaptable, resilient, and confident in their abilities to handle unforeseen circumstances. In some assignments, travel nurses may have opportunities to p...

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

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...

Our Client is currently seeking Orthopedics for positions in Morristown, NJ for a 3x12 Nights shift.The ideal candidate will possess a current NJ license or Compact license Depending on the state.You must have a License and at least 1 years of recent experience as a Orthopedics.South or North of ...

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

Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm &....