Home Health Registered Nurse RN Full Time Job at Aveanna Healthcare (Huntsville)

Medical Appeals/Grievance Specialist II - Registered Nurse

Responsible for utilizing clinical acumen and managed care expertise related to ...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

1 year experience in clinical and health insurance or other healthcare related field
3 years experience in clinical and health insurance or other healthcare related field AND 1 year Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
5 years experience in clinical and health insurance or other healthcare related field AND 2 years Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
8 years experience in clinical and health insurance or other healthcare related field AND 3 years above satisfactory job performance in the managed care environment with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Associate’s Degree in a healthcare field of study or Nursing Diploma
Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) or a compact state as a Registered Nurse (RN), a Physical Therapist (PT) or a Licensed Master Social Worker LMSW.
Intermediate PC proficiency
Intermediate skill using office equipment, including copiers, fax machines, scanner and telephones
Maintain confidentiality and privacy
Advanced clinical knowledge

Job Responsibility

Perform in-depth analysis, clinical review and resolution of provider appeals/inquiries, corrected claims and subscriber reconsiderations, member appeals, corrected claims and provider grievances for all lines of business
Identify, research, process, resolve and respond to customer inquiries primarily through written / verbal communication.
Respond to a diverse and high volume of health insurance appeal related correspondence on a daily basis.
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of appeal, grievance and reconsideration requests.
Maintain complete and accurate records per department policy.
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations.
Demonstrate ability to apply plan policies and procedures effectively.
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
Attend staff and interdepartmental meetings.
Participate in continuing education and current developments in the fields of medicine and managed care.

Fulltime

Director of Nursing

Our client is reputable provider of home care and hospice services in the South....

Location

United States , Baton Rouge

Salary:

Not provided

Above All Talent Solutions

Expiration Date

Until further notice

Requirements

Current Registered Nurse (RN) licensure in the State of Louisiana
Minimum of three years experience as a Registered Nurse, one of these years must be full-time in providing direct patient care in a home health or hospice setting
One year supervisory and administrative experience
Attend annual review and in-services
Actively participate in organization’s performance improvement activities
Maintains regulatory requirements, including all federal, state, local regulations and accrediting organization standards
Comply with all organizational policies regarding ethical business practices
Resolve staff concerns, utilizing the grievance process as required
Must have current, unrestricted license, in state of practice

What we offer

Excellent pay
Company Car Option
Increased Earning Potential
Mileage Reimbursement
Cell Phone Allowance
Complete Benefits Package including Health, Dental, Vision & Life Insurance
Paid Time Off (PTO)
401K
Free CEU online accreditation courses
Remarkable Career Advancement Opportunities

Home Health Registered Nurse RN Full Time

The Registered Nurse is responsible for providing and documenting skilled nursin...

Location

United States , Council Bluffs

Salary:

65000.00 - 85000.00 USD / Year

Aveanna Healthcare

Expiration Date

Until further notice

Requirements

An active RN License in the state of application
Valid CPR and Drivers License

Job Responsibility

Develop a plan of care through physician orders, client input, and nursing assessment to include medical interventions and measurable goals and outcomes
Educate clients and their family members based on client’s specific needs
Properly orient and train primary caregivers to ensure the most optimal functioning level for each client
Coordinate the continuum of hands on client care through documentation and timely communication with the client's physician and other caregivers
Provide care in patients home using a variety of skills such as phone triage, patient education, observation/assessment, wound care, infusions, catheter care, PICC line dressing changes etc.

What we offer

401(k) with match
Health, Dental and Vision Benefits for employees
Tuition Discounts and Reimbursement
PTO, Sick Time, and Paid Holidays
Thorough training
Flexible schedules
Electronic charting
Access to a clinical supervisor 24/7
Tuition Reimbursement
Advancement opportunities

Fulltime

Home Health Registered Nurse RN Full Time Weekends 3 Days

The Registered Nurse – Home Health Weekend Baylor (3 Days) is responsible for pr...

Location

United States , Franklin

Salary:

85000.00 - 95000.00 USD / Year

Aveanna Healthcare

Expiration Date

Until further notice

Requirements

An active RN License in the state of application
Valid CPR

Job Responsibility

Develop a plan of care through physician orders, client input, and nursing assessment to include medical interventions and measurable goals and outcomes
Educate clients and their family members based on client’s specific needs
Properly orient and train primary caregivers to ensure the most optimal functioning level for each client
Coordinate the continuum of hands on client care through documentation and timely communication with the client's physician and other caregivers
Provide care in patients home using a variety of skills such as phone triage, patient education, observation/assessment, wound care, infusions, catheter care, PICC line dressing changes etc.

What we offer

401(k) with match
Health, Dental and Vision Benefits
Tuition Discounts and Reimbursement
PTO, Sick Time, and Paid Holidays

Fulltime

New

Lawson Senior AP Processor

THE ACCOUNTS PAYABLE PROCESSOR WILL SUPPORT DAILY AP OPERATIONS ACROSS BOTH PO A...

Location

United States , Houston

Salary:

60.00 USD / Hour

Medasource

Expiration Date

Until further notice

Requirements

LAWSON (INFOR) EXPERIENCE REQUIRED
EXCEL PROFICIENCY REQUIRED
DEMONSTRATED ABILITY TO MANAGE HIGH-VOLUME INVOICE PROCESSING
HEALTHCARE AP EXPERIENCE REQUIRED FOR PO-SIDE ROLES
HEALTHCARE EXPERIENCE NOT REQUIRED FOR NON-PO ROLE
STRONG CUSTOMER SERVICE AND VENDOR COMMUNICATION SKILLS
BACHELOR’S DEGREE PREFERRED OR EQUIVALENT WORK EXPERIENCE

Job Responsibility

PROCESS AND VALIDATE PO-BASED INVOICES WITHIN LAWSON
OWN THE 3-WAY MATCH (PO, RECEIVING, INVOICE)
RESEARCH AND RESOLVE PRICE DISCREPANCIES, MISSING RECEIPTS, AND VENDOR ISSUES
PARTNER CLOSELY WITH SUPPLY CHAIN / MATERIALS MANAGEMENT TO RECONCILE EXCEPTIONS
MANAGE VENDOR INQUIRY MAILBOXES AND COMMUNICATION
HANDLE VENDOR DISCUSSIONS ON REBATES, DISCOUNTS, AND PAYMENT TERMS (NET 1–15)
UTILIZE GHX PORTAL FOR EDI ELECTRONIC INVOICE PROCESSING
PROVIDE MENTORSHIP TO JUNIOR PROCESSORS AND SUPPORT CONTINUOUS IMPROVEMENT
MANAGE EXPENSE REPORTS, ELECTRONIC PAYMENTS, AND NON-PO INVOICE PROCESSING
PROCESS REIMBURSEMENTS THROUGH INFOR XM

What we offer

competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage
401k plan that includes a company match and is fully vested after you become eligible
paid time off, sick time, and paid company holidays
Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching

New

Accounting Clerk

We are looking for a detail-oriented Accounting Clerk to join our team in Bakers...

Location

United States , Bakersfield

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 3 years of experience in accounting or a related role
Proficiency in accounts receivable (AR) and accounts payable (AP) processes
Strong knowledge of QuickBooks and other accounting software
Exceptional attention to detail and accuracy in data entry
Ability to process invoices efficiently and with precision
Solid understanding of journal entries and bank reconciliations
Effective organizational and time management skills
Associate degree in accounting, business, or a related field preferred

Job Responsibility

Process accounts receivable transactions, including invoicing and payment tracking
Handle occasional accounts payable duties, ensuring accurate and timely payments
Maintain and update accounting databases to ensure data integrity
Record journal entries and assist with general ledger maintenance
Reconcile cash receipts and bank accounts to ensure financial accuracy
Review and process invoices, verifying details for completeness and accuracy
Perform data entry tasks to support accounting operations
Collaborate with team members to ensure seamless financial workflows
Utilize QuickBooks for managing and tracking financial activities

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

New

Cook

Hartwell Lodge Care Home in Fareham is looking for an experienced Cook or Chef t...

Location

United Kingdom , Fareham

Salary:

12.72 GBP / Hour

Buckland Care

Expiration Date

Until further notice

Requirements

Several years of experience in hospitality/catering is required
Level 2 Food & Hygiene is required
A City & Guilds Catering qualification would be ideal but is not a requirement
Passionate about food, local produce and fresh ingredients
Good level of English
A good team player
Excellent time management skills
Prioritising resident and relative needs and offering personalised menus when required
Honest and kind person who can work under pressure
Previous experience in a care home is beneficial

Job Responsibility

Work to create inspiring mealtimes for residents at the home, catering to all preferences and dietary requirements
Enjoy interacting and communicating with the elderly as there will be regular contact with our residents
Have up to date knowledge of food health and hygiene
Knowledge on fortified diets and soft diets, but we can train you on this if need be

New

Occupational Therapist

Inabia is seeking an experienced Occupational Therapist to join its Rehab Therap...

Location

United States , Robert Lee

Salary:

Not provided

Inabia Solutions & Consulting

Expiration Date

Until further notice

Requirements

Active Texas Occupational Therapist license (required)
SNF experience preferred
No new graduates (experience required)
Strong documentation, communication, and patient-care skills

Job Responsibility

Evaluate patients’ functional abilities related to ADLs, mobility, cognition, and safety
Develop and implement individualized occupational therapy treatment plans
Provide skilled therapy services in accordance with physician orders and facility protocols
Educate patients and caregivers on adaptive techniques and equipment
Monitor patient progress and adjust plans of care as needed
Document evaluations, daily treatments, and discharge summaries accurately and timely
Collaborate with interdisciplinary team members to support patient outcomes

What we offer

Consistent weekday daytime schedule
Manageable patient caseload
Opportunity to work in a focused SNF rehab environment
Supportive interdisciplinary team

Fulltime

Home Health Registered Nurse RN Full Time

Aveanna Healthcare

Location:
United States , Huntsville

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
December 23, 2025

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