Clinical Appeals Nurse (RN)Molina Healthcare**Job ID** 2006400**Job Description**** The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals request has been made or upon request by another Molina department to reduce the likelihood of a formal appeal being submitted.**** Independently re-evaluates medical claims and associated records by applying […]
Jobs In Irving, Texas
Description SHIFT: Days (rotating weekends) SCHEDULE: Full-time At Medical Las Colinas, we care like family. Just as a family does, we pull together to care for, support, and celebratewith patients and each other. Are you looking for an employer with many different career options and a people-focused culture? You’ve come to the right place. Clinical […]
DescriptionSummary: The Registered Nurse Case Manager identifies, evaluates and provides management of services for patients with complex, catastrophic, long term illness or injury, mental/chemical health, and/or psychosocial issues. To promote quality, effective outcomes throughout the care continuum, the Case Manager will utilize disease management knowledge, along with evidence-based clinical care, to administer all facets of […]
PRIMARY PURPOSE: Maintain standard clinic activities in the absence of the school nurse:* Promote the health, well-being and academic achievement of all students by performing assessment of health disorders and providing treatment and/or appropriate medical intervention.* Provide support for student educational opportunities through health education, health promotion, disease prevention, and case management of health conditions […]
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