Job Seekers, Welcome to ODA Dental Career Connect
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
NEW! NEW!
NEW! NEW!
NEW! NEW!
Veterans Affairs, Veterans Health Administration
West Palm Beach, Florida, Florida
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Foundation Health Partners
Fairbanks, Alaska
NEW! NEW!
NEW! NEW!
Nicklaus Children’s Health System
Miami, Florida
NEW! NEW!
NEW! NEW!
Baylor Scott & White Health
Pflugerville, Texas
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
University of Maryland Medical System
Linthicum Heights, Maryland
NEW! NEW!
NEW! NEW!
University of Maryland Medical System
Linthicum, Maryland
NEW! NEW!
Loading... Please wait.
Appeals and Grievance Nurse Registered Nurse II PRN
DescriptionSummary:Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process. The Clinical Appeals Nurse is responsible for appealing all inappropriate denials through all possible levels of the appeal process. The RN Clinical Appeals Nurse will actively manage, maintain an
Loading. Please wait.