Appeals jobs in Jersey City, New Jersey (NJ) State

BAYADA Home Health Care is seeking a Registered Nurse (RN) Home Health Educator for a nursing job in Hillside, New Jersey. BAYADA Home Health Care is seeking a Registered Nurse (RN) to fill the position of. ...

TravelNurseSource is working with ARMStaffing to find a qualified Case Manager RN in Blackwood, New Jersey, 08012!. ARMStaffing is looking for RN - Case Management in Blackwood, New Jersey. Unit Details: 70770101-7028 Case Management (RN). Change environments regularly to prevent burnout, maintai...

TravelNurseSource is working with Specialty Professional Services to find a qualified Labor/Delivery RN in Neptune, New Jersey, 07754!. Travel nurses often form close bonds with colleagues who share similar adventurous spirits. Travel nurses often play crucial roles in responding to healthcare cr...

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 Specialty Professional Services to find a qualified Med/Surg RN in Red Bank, New Jersey, 07701!. Many travel nurses find permanent positions at healthcare facilities where they've completed assignments. Travel nurses often play crucial roles in responding to heal...

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. ...

TravelNurseSource is working with Specialty Professional Services to find a qualified Labor/Delivery RN in Neptune, New Jersey, 07754!. Travel nurses may find themselves in challenging situations that require effective crisis management. ...

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

TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in Turnersville, New Jersey, 08012!. Ready to learn more? Apply today to start your Travel Adventure with LRS Healthcare!. ...

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...

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. ...

Our Client is currently seeking ED for positions in Hackensack, 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 ED.South or North of this range dependi...

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

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

Emergency Room Nurses (RN) are responsible to treat a variety of injuries and illness brought into the Emergency Room. An Emergency Room Nurse must take measures to stabilize a patient’s condition by administering medication, intubation, drawing blood and/or starting IV’s. ...

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

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. ...

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

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...

Performs quality reviews of Appeals computations using Appeals Quality Standards and Attributes (AQSA). Office of Appeals Case and Operations Support Policy Planning Quality & Analysis AQMS. Interprets and applies AQSA using the Appeals Quality Measurement Standards Guideline. Performs quality ca...

... or international scope. Evaluates the priority issues identified as part of the central ... Reviews and analyzes Revenue Agent (Examiner), Appeals Officer, and Counsel Attorney instructions ...

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...