As a Clinical Appeals Nurse at R1 RCM, you will serve as an expert on appeals and denials management, reviewing patient clinical and hospital course documentation, payer policy, and denial information to prepare appropriate written documents and represent client hospitals during hearings if needed. This role requires experience in a clinical inpatient environment, proficiency in basic computer skills, and the ability to use sound judgment in reviewing clinical documentation supporting patient care.

Clinical Appeals Nurse

The Nurse Practitioner or Physician Assistant in this role functions as a member of the multidisciplinary treatment team within the Department of Psychiatry & Behavioral Health at Geisinger. This hybrid role involves predominantly Consult Liaison/Inpatient Psychiatry with call/weekend rounding expectations at Geisinger Lewistown Hospital, possibly floating to other locations such as Muncy and Jersey Shore. The role includes patient evaluation, assessment, diagnosis, treatment, and follow-up care, with responsibilities in outpatient setting and consult and inpatient service as needed.

Nurse Practitioner, Psychiatry

The Registered Nurse Evidence Based Practice Specialist at Bon Secours Mercy Health is responsible for assisting in the development of infrastructure to support Evidence Based Practice (EBP), supporting the development of EBP ideas and projects, maintaining a repository and communication plan for EBP projects, and facilitating programming to support EBP capacity. This role involves working closely with organizational leaders to improve healthcare outcomes by translating nursing research/EBP and QI projects into practice, mentoring others in evidence-based decision making, and seeking collaborative publication and presentation opportunities.

Registered Nurse (RN) - Evidence Based Practice (EBP) Specialist  - Remote

Registered Nurse Evidence Based Practice Specialist

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Licensed Practical Nurse - Med Jobs in Mifflintown, PA Hiring Now

Clinical Appeals Nurse

Nurse Practitioner, Psychiatry

Registered Nurse (RN) - Evidence Based Practice (EBP) Specialist - Remote