Bringing our heart to every moment of your health.
Appeals Nurse Consultant
Location
Connecticut
Posted
2 days ago
Salary
$66.6K - $142.6K / year
Seniority
Senior
Job Description
Job Requirements
- 3-5 years of experience as a Registered Nurse
- Minimum 3+ years of clinical /hospital nursing experience
- 1+ years in Medicare Utilization Management, case review, or prior authorization preferred
- Utilization Management, Managed Care, or Appeals experience preferred
- Coding experience preferred
- Pre-Authorization experience preferred
- Active RN State License Required
- Registered Nurse - associate’s degree or Diploma RN required, BSN preferred
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
Related Guides
Related Categories
Related Job Pages
More Consultant Jobs
The role involves developing and maintaining predictive models crucial for commercial pricing strategies, requiring engagement in both new model builds and enhancements to meet business needs and industry standards. Responsibilities include utilizing coding skills in R, Python, or SQL to implement financial engineering, data science, and statistical techniques for risk management applications.
Senior Consultant analyzing fraud patterns and overseeing investigations for insurance claims
Military Counseling Triage Consultant (Tele-work)
Arcetyp LLCArcetyp LLC is a growing small business that provides a broad range of consulting services to US Federal Government, US Military, and Commercial clients. Services include Management & IT Consulting, Program & Project Management, and Professional & Admin Services.
The consultant will answer calls and live chats to identify participant inquiries, provide warm hand-offs or referrals, and deliver government-approved privacy statements or advisories for non-medical counseling. Responsibilities also include conducting DoD Survivor Surveys, providing outbound contact services, offering interpretation/translation as needed, and initiating escalations for potentially harmful incidents.
Healthcare Consultant in Radiation Oncology
JobgetherWe use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1 We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Radiation Oncology Consultant (Remote). As a pivotal role in the healthcare sector, you will lead customer implementations, intertwining clinical expertise with advanced tec...
