Career Center

Job Seekers, Welcome to AMCP Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Search Results: 1355 Jobs
Save Agent
Loading... Please wait.
PerformRx Logo
PerformRx

Philadelphia, Pennsylvania

St. Luke's Health System Logo
St. Luke's Health System

Meridian, Idaho

NEW! NEW!
WakeMed Health & Hospitals Logo
WakeMed Health & Hospitals

Raleigh, North Carolina

NEW! NEW!
St. Luke's Health System Logo
St. Luke's Health System

Meridian, Idaho

NEW! NEW!
St. Luke's Health System Logo
St. Luke's Health System

Meridian, Idaho

NEW! NEW!
NEW! NEW!
Southern California Permanente Medical Group Logo
Southern California Permanente Medical Group

Lancaster, California

NEW! NEW!
CHRISTUS Health Logo
CHRISTUS Health

San Antonio, Texas

NEW! NEW!
Southern California Permanente Medical Group Logo
Southern California Permanente Medical Group

San Diego, California

NEW! NEW!
Southern California Permanente Medical Group Logo
Southern California Permanente Medical Group

Los Angeles, California

NEW! NEW!
Southern California Permanente Medical Group Logo
Southern California Permanente Medical Group

Lancaster, California

NEW! NEW!
Southern California Permanente Medical Group Logo
Southern California Permanente Medical Group

Baldwin Park, California

NEW! NEW!
St. Luke's Health System Logo
St. Luke's Health System

Meridian, Idaho

NEW! NEW!
Loading... Please wait.
Appeals Nurse RN - Community Health Choice
JOB SUMMARY: The 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.MINIMUM QUALIFICATIONS:1. Education/Specialized Training/Licensure: Registered Nurse, current Texas License2. Work Experience : One (1) year of experience utilizing evidence based criteria in medical review


This job listing is no longer active.

Check the left side of the screen for similar opportunities.
Loading. Please wait.
Powered By Naylor Association Solutions