3 claims nurse jobs at 2 companies in Saint Cloud, FL
4w
Save
Mark Applied
Hide
Appeals and Grievances Clinical Specialist
New York City or Lake Mary or New York or North Dakota or Indiana or Virginia or Texas or Tennessee or South Carolina or Pennsylvania or Ohio or Nevada or New Jersey or North Carolina or Minnesota or Maryland or Massachusetts or Kansas or Illinois or Iowa or Georgia or Florida or Delaware or Connecticut or Colorado or New Hampshire or Vermont or Arizona or Alabama or Maine or Utah or Mississippi or Montana or South Dakota or Nebraska or New Mexico or Washington or Michigan or Oklahoma
$73k-$120k/yr RemoteFull Time
Active registered nurse (rn) required; experience in appeals & grievances, utilization review, claims processing preferred; familiarity with Utilization Review guidelines and care management systems; strong documentation and case management skills.
Microsoft Word, Microsoft Excel, Macess, CCMS, TruCare, Hyland, InterQual, Milliman
4w
Save
Mark Applied
Hide
Appeals and Grievances Clinical Specialist/ Quality Of Care
New York City or Lake Mary
$83k-$120k/yr HybridFull Time
Active RN required; experience in clinical practice and appeals & grievances, claims processing, utilization review or case management; knowledge of utilization review guidelines and ability to manage large caseloads.
Microsoft Word, Microsoft Excel, Macess, CCMS, TruCare, Hyland, InterQual, Milliman
3mo
Save
Mark Applied
Hide
Clinical Risk Manager Kissimmee
Kissimmee, Florida, United States
$66k-$123k/yr OnsiteFull Time
3+ YOEBachelor's in a health care field, 3+ years clinical experience and 3+ years risk management/claims experience; required professional license (RN/ACNPC/RRT/OT/PT/PA/PARA/RPH/CPHRM); Microsoft Office proficiency.
Microsoft Office Suite