Nurse Manager II Job at Bright Vision Technologies (Happy Valley)

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

New

Nurse Aide - Cardiac Tele

Full time Nurse Aide position on the Cardiac Telemetry unit at Atrium Health Uni...

Location

United States , Monroe

Salary:

19.80 - 29.70 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Current listing with the DFS Nurse Aide Registry as a Nurse Aide I or with the applicable state Board of Nursing as a Nurse Aide II
BLS required per policy guidelines
Must speak and understand English in good understandable terms
Physical abilities testing required

Job Responsibility

Supports patients/residents with activities of daily living
Assists patients/residents with personal hygiene
Takes vital signs and height and weight measurements
Feeds and ambulates patients/residents according to specific procedures
Maintains patient/resident's rooms in a clean and orderly condition
Observes and reports changes in patient/resident conditions
Orients patients/families to unit and instructs patient on safety measures
Assists with clerical work such as, including answering phones, entering data and maintaining medical records
Maintains stock supply items in inventory management
Performs duties as outlined in the scope of Nurse Aide I or Nurse Aide II tasks (per applicable state Board of Nursing Nurse Aide I and Nurse Aide II Tasks List)

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

New

Nurse Aide - Healthcare Tech

The Nurse Aide/Healthcare Technician assists in providing patient care under the...

Location

United States , Charlotte

Salary:

19.80 - 29.70 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Current listing with the DFS Nurse Aide Registry as a Nurse Aide I or with the North Carolina Board of Nursing as a Nurse Aide II
BLS required per policy guidelines
Work requires walking, standing, sitting, lifting, reaching, bending, stretching, stooping, pushing, and pulling
Must be able to lift and support the weight of 35 pounds
Must speak and understand English in good understandable terms
Must have manual and finger dexterity
Physical abilities testing required

Job Responsibility

Supports patients/residents with activities of daily living
Assists patients/residents with personal hygiene
Takes vital signs and height and weight measurements
Feeds and ambulates patients/residents according to specific procedures
Maintains patient/resident's rooms in a clean and orderly condition
Observes and reports changes in patient/resident conditions
Orients patients/families to unit and instructs patient on safety measures
Assists with clerical work such as, including answering phones, entering data and maintaining medical records
Maintains stock supply items in inventory management
Performs duties as outlined in the scope of Nurse Aide I or Nurse Aide II tasks (per North Carolina Board of Nursing Nurse Aide I and Nurse Aide II Tasks List)

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

New

Nurse Aide Healthcare Technician

Location

United States , Charlotte

Salary:

19.80 - 29.70 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Current listing with the DFS Nurse Aide Registry as a Nurse Aide I or with the applicable state Board of Nursing as a Nurse Aide II
BLS required per policy guidelines
Must speak and understand English in good understandable terms
Physical abilities testing required

Job Responsibility

Supports patients/residents with activities of daily living
Assists patients/residents with personal hygiene
Takes vital signs and height and weight measurements
Feeds and ambulates patients/residents according to specific procedures
Maintains patient/resident's rooms in a clean and orderly condition
Observes and reports changes in patient/resident conditions
Orients patients/families to unit and instructs patient on safety measures
Assists with clerical work such as, including answering phones, entering data and maintaining medical records
Maintains stock supply items in inventory management
Performs duties as outlined in the scope of Nurse Aide I or Nurse Aide II tasks (per applicable state Board of Nursing Nurse Aide I and Nurse Aide II Tasks List)

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions

Fulltime

New

Nurse Aide - Cardiac Tele

Nurse Aide position in the Cardiac Tele unit at Atrium Health Union. Full-time w...

Location

United States , Monroe

Salary:

19.80 - 29.70 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Current listing with the DFS Nurse Aide Registry as a Nurse Aide I or with the applicable state Board of Nursing as a Nurse Aide II
BLS required per policy guidelines
Must speak and understand English in good understandable terms
Physical abilities testing required

Job Responsibility

Supports patients/residents with activities of daily living
Assists patients/residents with personal hygiene
Takes vital signs and height and weight measurements
Feeds and ambulates patients/residents according to specific procedures
Maintains patient/resident's rooms in a clean and orderly condition
Observes and reports changes in patient/resident conditions
Orients patients/families to unit and instructs patient on safety measures
Assists with clerical work such as, including answering phones, entering data and maintaining medical records
Maintains stock supply items in inventory management
Performs duties as outlined in the scope of Nurse Aide I or Nurse Aide II tasks (per applicable state Board of Nursing Nurse Aide I and Nurse Aide II Tasks List)

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

New

Nurse Aide/Healthcare Tech PT Days Post-Surgical

The Nurse Aide/Healthcare Technician assists in providing patient care under the...

Location

United States , Charlotte

Salary:

19.80 - 29.70 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Current listing with the DFS Nurse Aide Registry as a Nurse Aide I or with the North Carolina Board of Nursing as a Nurse Aide II
BLS required per policy guidelines
Work requires walking, standing, sitting, lifting, reaching, bending, stretching, stooping, pushing, and pulling
Must be able to lift and support the weight of 35 pounds
Must speak and understand English in good understandable terms
Must have manual and finger dexterity
Physical abilities testing required

Job Responsibility

Supports patients/residents with activities of daily living
Assists patients/residents with personal hygiene
Takes vital signs and height and weight measurements
Feeds and ambulates patients/residents according to specific procedures
Maintains patient/resident's rooms in a clean and orderly condition
Observes and reports changes in patient/resident conditions
Orients patients/families to unit and instructs patient on safety measures
Assists with clerical work such as, including answering phones, entering data and maintaining medical records
Maintains stock supply items in inventory management
Performs duties as outlined in the scope of Nurse Aide I or Nurse Aide II tasks (per North Carolina Board of Nursing Nurse Aide I and Nurse Aide II Tasks List)

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

New

Healthcare Tech

The Nurse Aide/Healthcare Technician assists in providing patient care under the...

Location

United States , Cornelius

Salary:

19.80 - 29.70 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Current listing with the DFS Nurse Aide Registry as a Nurse Aide I or with the applicable state Board of Nursing as a Nurse Aide II
BLS required per policy guidelines

Job Responsibility

Supports patients/residents with activities of daily living
Assists patients/residents with personal hygiene
Takes vital signs and height and weight measurements
Feeds and ambulates patients/residents according to specific procedures
Maintains patient/resident's rooms in a clean and orderly condition
Observes and reports changes in patient/resident conditions
Orients patients/families to unit and instructs patient on safety measures
Assists with clerical work such as, including answering phones, entering data and maintaining medical records
Maintains stock supply items in inventory management
Performs duties as outlined in the scope of Nurse Aide I or Nurse Aide II tasks (per applicable state Board of Nursing Nurse Aide I and Nurse Aide II Tasks List)

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Parttime

New

Nurse Aide Healthcare Technician

Location

United States , Albemarle

Salary:

19.80 - 29.70 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Current listing with the DFS Nurse Aide Registry as a Nurse Aide I or with the applicable state Board of Nursing as a Nurse Aide II
BLS required per policy guidelines
Must speak and understand English in good understandable terms
Physical abilities testing required

Job Responsibility

Supports patients/residents with activities of daily living
Assists patients/residents with personal hygiene
Takes vital signs and height and weight measurements
Feeds and ambulates patients/residents according to specific procedures
Maintains patient/resident's rooms in a clean and orderly condition
Observes and reports changes in patient/resident conditions
Orients patients/families to unit and instructs patient on safety measures
Assists with clerical work such as, including answering phones, entering data and maintaining medical records
Maintains stock supply items in inventory management
Performs duties as outlined in the scope of Nurse Aide I or Nurse Aide II tasks (per applicable state Board of Nursing Nurse Aide I and Nurse Aide II Tasks List)

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance

Parttime

Nurse Manager II

Bright Vision Technologies

Location:
United States , Happy Valley

Category:
Nursing

Contract Type:
Employment contract

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 31, 2026

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