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Your search generated 779 results
WPS Health Solutions

Appeals Nurse

Las Vegas, Nevada

WPS Health Solutions

Description The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare reg...

Job Type Full Time
WPS Health Solutions

Appeals Nurse

Des Moines, Iowa

WPS Health Solutions

Description The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare reg...

Job Type Full Time
WPS Health Solutions

Appeals Nurse

Marion, Illinois

WPS Health Solutions

Description The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare reg...

Job Type Full Time
WPS Health Solutions

Appeals Nurse

Sioux Falls, South Dakota

WPS Health Solutions

Description The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare reg...

Job Type Full Time
WPS Health Solutions

Appeals Nurse

Fargo, North Dakota

WPS Health Solutions

Description The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare reg...

Job Type Full Time
Remote
WPS Health Solutions

Appeals Nurse

Texas

WPS Health Solutions

Description The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare reg...

Job Type Full Time
Corewell Health

Clinical Risk Specialist Senior

Grosse Pointe, Michigan

Corewell Health

This is a hybrid position that will require occasional onsite presence at CHE Grosse Pointe hospital and Southfield BSC. There is also a weekend on-call rotation that is required 3 - 4 times per year. Join our team at Corewell Health as an ...

Job Type Full Time
Gold Coast Health Plan

Care Management Coordinator I

Camarillo, California

Gold Coast Health Plan

The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualific...

Job Type Full Time
Hanger, Inc.

Referral & Document Management Specialist III

Milwaukee, Wisconsin

Hanger, Inc.

Referral & Document Management Specialist III Job ID 2025-29842 # Positions 1 Job Location US Telecommute Telecommute (U.S.) Position FT/PT Full-Time Category Medical Office Professionals Why Us? With a mantra of Empowering Human Potential,...

Job Type Full Time
Children's Mercy Hospital

Clinical Review Nurse Care Manager

Kansas City, Missouri

Children's Mercy Hospital

Clinical Review Nurse Care Manager Requisition ID 2025-33709 Requisition Post Information* : Posted Date 2 weeks ago(6/17/2025 4:21 PM) Posting Category Nursing Division CARE MANAGEMENT Work Type Full Time Work Days Mon- Fri Work Hours vari...

Job Type Full Time

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