STAR+PLUS Appeals Nurse RN in Houston, TX for Harris Health System

Use this area to filter your search results. Each filter option allows for multiple selections.

Discipline
Type
Level

Search Results: 20507 Jobs

Create Alert

Previous Results

LEAD MEDICAL SUPPLY TECH (Sterile Processing)

Veterans Affairs, Veterans Health Administration

Cape Coral, Florida, Florida

NEW!

Nurse Practitioner - Workplace Violence Prevention Program Manager

Veterans Affairs, Veterans Health Administration

Grand Junction, Colorado, Colorado

NEW!

RN ED Mid Shift $70/HR

AdventHealth

Calhoun, Georgia

NEW!

Anesthesiologist Asst

Baylor Scott & White Health

Round Rock, Texas

NEW!

Labor & Delivery RN Night Shift + Signing Bonus

Vanderbilt Health

Nashville, Tennessee

NEW!

Patient Access Representative-Specialty Cardiology-Full Time

CHRISTUS Health

Alexandria, Louisiana

NEW!

Clinical Practice Nurse Leader - 4 Acute Care Ortho & Neuro

Penn State Health

Hershey, Pennsylvania

NEW!

Security Officer - Santa Monica Hospital

UCLA

Santa Monica, California

NEW!

Clinical Liaison

Kindred Hospitals

Coral Gables, Florida

NEW!

Mental Health Professional - Intake, Puyallup

MultiCare Health System

Puyallup, Washington

NEW!

Head Nurse

WMCHealth

Valhalla, New York

NEW!

Physician Assistant - Urology

Franciscan Physician Network

Dyer, Indiana

NEW!

Advanced Practice Provider - Occupational Medicine

Franciscan Physician Network

Lafayette, Indiana

NEW!

Hospice Physician (Part-TIme) Opportunity

Trinity Health

Southeast, Michigan

NEW!

Registered Nurse - Community Care Clinical Coordinator

Veterans Affairs, Veterans Health Administration

Sioux Falls, South Dakota, South Dakota

NEW!

Registered Nurse (RN) Behavioral Health

Brook Lane

Hagerstown, Maryland

NEW!

RN CVICU

Baylor Scott & White Health

Dallas, Texas

NEW!

Infusion Clinic RN PRN

Baylor Scott & White Health

Marble Falls, Texas

NEW!

Physician Assistant Urgent Care

Baylor Scott & White Health

Pflugerville, Texas

NEW!

RN Inpatient Care Full Time Day Shift Weekend Program

Watertown Regional Medical Center

Watertown, Wisconsin

NEW!

Nurse Apprentice Behavioral Health

Palestine Regional Medical Center

Palestine, Texas

NEW!

CNA LTC Day Shift

Bolivar Medical Center

Cleveland, Mississippi

NEW!

Neurology Opportunities - Inpatient/Outpatient Blended Model - Davenport, IA

Trinity Health

Davenport, Iowa

NEW!

Internal Medicine - Outpatient Opportunity

Trinity Health

Greensboro, Georgia

NEW!

Infectious Disease/HIV APRN

Veterans Affairs, Veterans Health Administration

Minneapolis, Minnesota, Minnesota

NEW!

STAR+PLUS Appeals Nurse RN

JOB SUMMARYSTAR +PLUS Appeals Nurse assists in the review of medical records submitted for appeals by providers due to adverse determination. Utilize evidence-based criteria, regulatory guidelines and Medical Affairs departmental policies for medical necessity and level of care determination. Provides written response of the outcome of the appeals finding to the appealing provider and member. Assists in the ongoing development and maintenance of a database for tracking, trending and reporting appeals cases.JOB SPECIFICATIONS Essential FunctionsReviews and provides resolution of STAR+PLUS Appeals, per regulatory guidelines to providers for cases submitted for ap

This job listing is no longer active.

Check the left side of the screen for similar opportunities.

Loading...

Error