Job Seekers, Welcome to AAMCN Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Search Results: 3900 Jobs
Save Agent
Loading... Please wait.
NEW! NEW!
St. Luke's Health System Logo
St. Luke's Health System

Boise, Idaho

NEW! NEW!
St. Luke's Health System Logo
St. Luke's Health System

Mountain Home, Idaho

NEW! NEW!
Baylor Scott & White Health Logo
Baylor Scott & White Health

College Station, Texas

NEW! NEW!
Kindred Hospitals Logo
Kindred Hospitals

Westminster, California

NEW! NEW!
Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

Astoria, Oregon

NEW! NEW!
Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

Anniston, Alabama

NEW! NEW!
NEW! NEW!
Lee Health Logo
Lee Health

Fort Myers, Florida

NEW! NEW!
ChristianaCare Logo
ChristianaCare

Newark, Delaware

NEW! NEW!
NEW! NEW!
Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

Danville, Illinois

NEW! NEW!
AdventHealth Logo
AdventHealth

Ocala, Florida

NEW! NEW!
NEW! NEW!
Mary Washington Healthcare Logo
Mary Washington Healthcare

Fredericksburg, Virginia

NEW! NEW!
NEW! NEW!
UNM Hospital Logo
UNM Hospital

Albuquerque, New Mexico

NEW! NEW!
NEW! NEW!
Stanford Children's Health - Lucile Packard Children's Hospital Logo
Stanford Children's Health - Lucile Packard Children's Hospital

Palo Alto, California

NEW! NEW!
AdventHealth Logo
AdventHealth

Ocala, Florida

NEW! NEW!
St. Luke's Health System Logo
St. Luke's Health System

Meridian, Idaho

NEW! NEW!
St. Luke's Health System Logo
St. Luke's Health System

Boise, Idaho

NEW! NEW!
St. Luke's Health System Logo
St. Luke's Health System

Meridian, Idaho

NEW! NEW!
CHRISTUS Health Logo
CHRISTUS Health

Alexandria, Louisiana

NEW! NEW!
NEW! NEW!
Loading... Please wait.
QI Nurse, Quality Management - FT/Days (8hr)
Respond to appeals from the involved health plan within 24 hours for Expedited Appeals and 7 calendar days for Routine Appeals.  Assemble the denial packet response including the cover letter outlining the findings, member’s medical records, a copy of the denied referral request, a copy of the denial letter and rationale for initial decision. Present overturned cases to Medical Director for approval to issue authorization per health plan demand. Log all appeals in to the database for monthly tracking as well as Quarterly Appeals Trending Report to be presented to the Quality Improvement Committee (QIC). 


This job listing is no longer active.

Check the left side of the screen for similar opportunities.
Loading. Please wait.