UNKNOWN

FEED

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. Actively manage, maintain and communicate denial/appeal activity to appropriate stakeholders, and report suspected or emerging trends related to payer denials.

Elevate Patient Financial Solutions Inc

Clinical Appeals Nurse

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The NP maintains continuing education credits as prescribed by licensing body and the medical group and maintains prescriptive authority; acquires special clinical competencies as required by the group; participates in quality assurance and utilization management activities; and assists with risk management functions. The Nurse Practitioner (NP) is responsible for the provision of health care services to individuals, families, and/or groups who receive their care under the auspices of medical group.

<h4>Overview</h4>
K.A. Recruiting is a Healthcare Recruiting company that was established in order to serve the growing need for allied healthcare professionals, doctors, nurses, nurse practitioners, pharmacists, physician assistants and physical therapists. We help to find top notch candidates for hospitals, reference labs, long-term care facilities, home health agencies, rehabilitation centers, non profit organizations, etc. CHECK OUT OUR CURRENT JOB OPPORTUNITIES: JOBS.KA-RECRUITING.COM Like us on Facebook: https://www.facebook.com/pages/KA-Recruiting-Inc/210685185178
<dl>
<dt>Website</dt>
<dd><a href="http://www.ka-recruiting.com/" target="_blank" rel="noopener noreferrer">http://www.ka-recruiting.com</a></dd>
<dt>Industry</dt>
<dd>Staffing and Recruiting</dd>
</dl>

K.A. Recruiting

Nurse Practitioner (Vascular Clinic Setting_

HaleyMarketing

Nurse Practitioner

Provide education to patients and caregivers regarding self-management of health care conditions that are appropriate based on language, cognitive abilities, literacy levels, patient preferences, and readiness for change. · Facilitate the transition of patient care from inpatient settings such as hospitals, rehabilitation facilities, and skilled nursing facilities back to the patient’s home or community setting.

Baptist Memorial Health Care

Coordinator-Care RN

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Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation. Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes.

HOUR

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

<a href="https://www.youtube.com/watch?v=5PbNyi2IDkY">https://www.youtube.com/watch?v=5PbNyi2IDkY</a> 

Caring. Connecting. Growing together. 

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. <a href="https://careers.unitedhealthgroup.com/culture/what-we-offer/">Learn more about what we offer.</a> 

• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. <a href="https://careers.unitedhealthgroup.com/culture/">Learn more about our culture.</a> 

• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. <a href="https://careers.unitedhealthgroup.com/career-areas/">Discover all the ways you can learn, grow and develop.</a>

UnitedHealth Group

Registered Nurse

IRecruitee

Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group Inc

RN - Home Health

OTHER

Complete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.

Gentiva Hospice

Hospice Nurse Practitioner

[AW]-iCims

We offer a comprehensive therapeutic program with services that are provided by a multidisciplinary team of psychiatrists, case managers, licensed clinical therapists, registered nurses, nutritionists, and recreational therapists. At Acadia Healthcare, we offer a comprehensive benefits package including medical, prescription drug plan, flexible spending accounts, health savings accounts, vision, dental, and voluntary short-term and long-term disability coverage.

Millcreek of Arkansas

RN Millcreek Behavioral Health

Administrative Process
Affinite CM
Affinite UM
CCI Edits
Collaborative Communications
Critical Reasoning
Cross-Functional Planning
Customer Relationship Management (CRM)
Customer Service Workstation
Deductive Reasoning
Five9
Information Security
Interpersonal Relationship Management
Microsoft Excel
Microsoft Office
Microsoft Outlook
Microsoft PowerPoint
Needs Assessment
Oral Communications
Problem Sensitivity
Researching
Sound Judgment
Support Coordination
Written Communication Responsibilities. This role focuses on quality patient outcomes and cost-effective healthcare delivery and may encompass general medical case management or specialize in high-acuity areas and/or high-cost areas such as high-risk obstetrics and neonatal care, chronic disease management, and/or mental health support (excludes Behavioral Health).

Arkansas Blue Cross

RN Case Manager

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This role focuses on quality patient outcomes and cost-effective healthcare delivery and may encompass general medical case management or specialize in high-acuity areas and/or high-cost areas such as high-risk obstetrics and neonatal care, chronic disease management, and/or mental health support (excludes Behavioral Health). Serves as a liaison facilitating a collaborate process which includes patients, families/caregivers, physicians, hospital discharger planners, home care providers and other ancillary providers to promote quality of care, cost effectiveness, accessibility and appropriateness of service levels.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Facilitates the development of a multidisciplinary discharge plan, engaging other relevant health team members, the patient and/or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs, choices and available resources. Every day, you will strategically assess, plan, and facilitate comprehensive care across the continuum, expertly advocating for patients while collaborating with physicians, nursing, departments, insurers, and post-acute providers to ensure timely, high-quality transitions.

CommonSpirit Health

CURRENT EMPLOYEES: Please apply via the internal career site by logging into your Workday Account ( https://www.myworkday.com/archildrens/)and search the "Find Jobs" report. Collects patient/family data to facilitate the identification of clinical, educational, psychosocial, and cultural needs and communicate data and observations to health team members.

Arkansas Children's Hospital

LPN II Complex Care Clinic

Licensed Practical Nurse (LPN) I

Licensed Practical Nurse (LPN) III

CURRENT EMPLOYEES: Please apply via the internal career site by logging into your Workday Account ( https://www.myworkday.com/archildrens/ )and search the "Find Jobs" report. 1. Collects patient/family data to facilitate the identification of clinical, educational, psychosocial, and cultural needs and communicate data and observations to health team members.

Arkansas Children's Hospital Northwest

LPN PRN Growth & Development Clinic

Recommended Education: Required Work Experience: Nursing- 3 years of experience; demonstrated leadership readiness through either prior leadership experience or, for internal candidates, successful completion of the ASPIRE program. Additional Information: The Patient Care Manager manages daily operations of the clinical nursing department ensuring safe and high quality patient care delivery and the effective and efficient utilization of staff, supplies, and equipment.

Utilization Management Nurse Jobs in Arkansas

Clinical Appeals Nurse Elevate Patient Financial Solutions Inc

Nurse Practitioner (Vascular Clinic Setting_ K.A. Recruiting

Nurse Practitioner K.A. Recruiting

Coordinator-Care RN Baptist Memorial Health Care

Registered Nurse UnitedHealth Group

RN - Home Health UnitedHealth Group Inc

RN UnitedHealth Group Inc

Hospice Nurse Practitioner Gentiva Hospice

RN Millcreek Behavioral Health Millcreek of Arkansas

RN Case Manager Arkansas Blue Cross

RN Case Manager Blue Cross and Blue Shield Association

RN Case Manager CommonSpirit Health

LPN II Complex Care Clinic Arkansas Children's Hospital

Licensed Practical Nurse (LPN) I Arkansas Children's Hospital

Licensed Practical Nurse (LPN) III Arkansas Children's Hospital

Licensed Practical Nurse (LPN) I Arkansas Children's Hospital Northwest

LPN II Complex Care Clinic Arkansas Children's Hospital Northwest

Licensed Practical Nurse (LPN) III Arkansas Children's Hospital Northwest

LPN PRN Growth & Development Clinic Arkansas Children's Hospital Northwest

Nurse Manager (Pcm) Arkansas Children's Hospital

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