Search jobs > Fort Worth, TX > Nurse

Appeals Nurse

VirtualVocations
Fort Worth, Texas, United States
Full-time

A company is looking for an Appeals Nurse to join their Clinical Review team.Key ResponsibilitiesComplete medical necessity and level of care reviews using clinical judgment and guidelinesObtain necessary information to assess a member's clinical condition and apply evidence-based guidelinesEnsure compliance with applicable laws and regulations while meeting decision-making SLAsRequired Qualifications, Training, and EducationActive, unrestricted RN licensure in the United States or compact multistate RN licenseAssociate Degree in Nursing or equivalent from an accredited nursing program1+ year of utilization review experience in a managed care setting1+ years of clinical experience in an acute care setting1+ years of experience with medical decision support tools

3 days ago
Related jobs
Promoted
VirtualVocations
Fort Worth, Texas

A company is looking for an Appeals Nurse to join their Clinical Review team. ...

Promoted
VirtualVocations
Fort Worth, Texas

A company is looking for a Registered Nurse Denials & Appeals Administrator to manage the pre-denial and appeal processes. ...

Promoted
VirtualVocations
Fort Worth, Texas

A company is looking for an Appeals Nurse Consultant (Remote) to process Medicare appeals for participating providers. ...

Promoted
Intuit
Arlington, Texas
Remote

As part of this position, you have the opportunity to work 100% remotely, collaborating with an exceptional team from the comfort of your home or office. Must be willing and available to work a minimum of 20 hours per week. By providing tax advice, full service return preparation, tax calculations, ...

Promoted
Parkland Health and Hospital System
Fort Worth, Texas

A Registered Nurse (RN) with > 2 years of experience. Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a ...

Promoted
Medical Talent
Arlington, Texas

Medical Talent is seeking an experienced Neonatal Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Arlington, TX. Medical Talents traveling healthcare associates include registered nurses, certified nursing assistants and medical assistants, as well as physical, occupationa...

Promoted
Smarter Healthcare Partners
Fort Worth, Texas

Smarter Healthcare Partners is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Fort Worth, TX. We provide nurses and allied health professionals with the highest pay and best benefits possible. ...

Promoted
Atlas MedStaff
Arlington, Texas

Atlas MedStaff is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Arlington, TX. Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare professionals that work with our team. If you don’t have this kind of relati...

Promoted
Axis Medical Staffing
Arlington, Texas

Axis Medical Staffing is seeking an experienced Neonatal Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Arlington, TX. Since 2004, Axis Medical Staffing has excelled in connecting adventurous travel nurses with amazing opportunities throughout the country, setting us apar...

Promoted
Outlier
Arlington, Texas
Remote

Are you an experienced </strong><strong>Korean</strong><strong>&nbsp;writer who would like to lend your expertise to train AI models?&nbsp;</strong></p><p><strong>About the opportunity:</strong></p><ul><li>Outlier is loo...