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Full-Time and Per Diem Radiologist Opportunities in Northern & Central California with Kaiser Perman
The Permanente Medical Group, Inc. (Kaiser Permanente Northern California)
Northern & Central California, California
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Kaiser Permanente - Washington Permanente Medical Group
Bellevue, Washington
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The Permanente Medical Group, Inc. (Kaiser Permanente Northern California)
San Jose & Vallejo, California
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Vanderbilt Health
Nashville, Tennessee
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Penn State Health - Physician Recruitment
Hershey, Pennsylvania
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Carilion Clinic
Roanoke, Virginia
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South Shore Health
Weymouth, Massachusetts
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Penn State Health - Physician Recruitment
Harrisburg, Pennsylvania
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Fred Hutchinson Cancer Center
Seattle, Washington
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Nicklaus Children’s Health System
Homestead, Florida
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Southern California Permanente Medical Group
Harbor City, California
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University of California San Francisco
San Francisco, California
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Penn State Health - Physician Recruitment
Hershey, Pennsylvania
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Spartanburg Regional Healthcare System
Upstate, South Carolina
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Clinical Appeals Nurse- PRN
DescriptionSummary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process. The Clinical Appeals Nurse is responsible for appealing all inappropriate denials through all possible levels of the appeal process. The RN Clinical Appeals Nurse will actively manage, maintain and communicate denial/appeal activity to appropriate stakeholders, and report suspected or
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