Career Center

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.
Search Results: 372 Jobs
Create Alert
Loading... Please wait.
Duke University Health System Logo
Duke University Health System

Durham, North Carolina

NEW! NEW!
CommonSpirit Health Mountain Region Logo
CommonSpirit Health Mountain Region

Centennial, Colorado

NEW! NEW!
Northeast Georgia Health System Logo
Northeast Georgia Health System

Remote,

NEW! NEW!
Duke University Health System Logo
Duke University Health System

Durham, North Carolina

NEW! NEW!
Nemours Logo
Nemours

Wilmington, Delaware

NEW! NEW!
Lehigh Valley Health Network Logo
Lehigh Valley Health Network

Allentown, Pennsylvania

NEW! NEW!
University of Maryland Medical System Logo
University of Maryland Medical System

Baltimore, Maryland

NEW! NEW!
Lehigh Valley Health Network Logo
Lehigh Valley Health Network

Allentown, Pennsylvania

NEW! NEW!
University of Maryland Medical System Logo
University of Maryland Medical System

Baltimore, Maryland

NEW! NEW!
CHRISTUS Health Logo
CHRISTUS Health

Lake Charles, Louisiana

NEW! NEW!
Nemours Logo
Nemours

Wilmington, Delaware

NEW! NEW!
University of Maryland Medical System Logo
University of Maryland Medical System

Baltimore, Maryland

NEW! NEW!
Harris Health System Logo
Harris Health System

Houston, Texas

NEW! NEW!
WMCHealth Logo
WMCHealth

Poughkeepsie, New York

NEW! NEW!
WMCHealth Logo
WMCHealth

Hawthorne, New York

NEW! NEW!
Fallon Community Health Plan

Worcester, Massachusetts

NEW! NEW!
University of Maryland Medical System Logo
University of Maryland Medical System

Baltimore, Maryland

NEW! NEW!
NEW! NEW!
University of Maryland Medical System Logo
University of Maryland Medical System

Baltimore, Maryland

NEW! NEW!
Vanderbilt Health Logo
Vanderbilt Health

Nashville, Tennessee

NEW! NEW!
CHRISTUS Health Logo
CHRISTUS Health

San Antonio, Texas

NEW! NEW!
NEW! NEW!
ChristianaCare Health System Logo
ChristianaCare Health System

Newark, Delaware

NEW! NEW!
Duke University Health System Logo
Duke University Health System

Durham, North Carolina

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


This job listing is no longer active.

Check the left side of the screen for similar opportunities.
Loading. Please wait.
Powered By Naylor Association Solutions