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Nurse Practitioner or Physician Assistant - Patchogue, NY
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Patchogue, New York

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Part Time Nurse Practitioner - Home Based Medical Care - Morehead City, NC
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New Bern, North Carolina

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Nurse Practitioner - Home-based Medical Care - Ocean County, NJ - Optum
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Toms River, New Jersey

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Director Cardiac Operations - Cardiology Cath
CHRISTUS Health

San Antonio, Texas

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Part Time Nurse Practitioner- Home Based Medical Care - Bolivia, NC
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Southport, North Carolina

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Nurse Practitioner - Home-based Medical Care - Hudson County, NJ - Optum
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Secaucus, New Jersey

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Part Time Nurse Practitioner - Home Based Medical Care - Savannah, GA
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Savannah, Georgia

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Part Time Nurse Practitioner - Home Based Medical Care - Sandersville, GA
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Sandersville, Georgia

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Part Time Nurse Practitioner - Home Based Medical Care - Toombs, GA
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Vidalia, Georgia

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Nurse Practitioner or Physician Assistant - Complex Care at Home - Kent County - RI
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Warwick, Rhode Island

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Part Time Nurse Practitioner - Home Based Medical Care - Crisp County, GA
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Cordele, Georgia

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Part Time Nurse Practitioner- Home Based Medical Care - Onslow, NC
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Jacksonville, North Carolina

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Part Time Nurse Practitioner - Home Based Medical Care - Clarke County, GA
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Athens, Georgia

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Part Time Nurse Practitioner - Home Based Medical Care - Jefferson County, GA
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Louisville, Georgia

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Part Time Nurse Practitioner - Home Based Medical Care - Chattooga County, GA
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Summerville, Georgia

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Part Time Nurse Practitioner - Home Based Medical Care - Elbert County, GA
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Elberton, Georgia

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Part Time Nurse Practitioner - Home Based Medical Care - Dodge County, GA
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Eastman, Georgia

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Part Time Nurse Practitioner - Home Based Medical Care - Muscogee County, GA
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Columbus, Georgia

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Part Time Nurse Practitioner - Home Based Medical Care - Jesup, GA
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Jesup, Georgia

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Nurse Practitioner - Home-based Medical Care - Burlington County, NJ - Optum
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Burlington, New Jersey

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Nurse Practitioner or Physician Assistant Albany
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Albany, New York

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Chief Medical Officer
CommonSpirit Health Mountain Region

Fort Morgan, Colorado

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Part Time Nurse Practitioner - Home Based Medical Care - Pierce County, GA
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Blackshear, Georgia

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Part Time Nurse Practitioner - Home Based Medical Care - Decatur County, GA
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Decatur, Georgia

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Part Time Nurse Practitioner - Home Based Medical Care - Emanuel County, GA
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Swainsboro, Georgia

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STAR+PLUS Appeals Nurse RN
JOB SUMMARYSTAR +PLUS 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.JOB SPECIFICATIONS Reviews and provides resolution of STAR+PLUS Appeals, per regulatory guidelines to providers for cases submitted for appeals review due to adv


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