Join us, and believe in your career.
Join Scott & White and discover the benefits of a nationally-recognized healthcare organization with plenty of open doors. Our dedication to leading research, lifelong learning and professional mobility provides you with plenty of ways to reach your ideal destination. The choice is easy. RN Customer Resolution Appeals SpecialistTemple, TXYou will provide review/research, direction and coordination for the Scott & White Health Plan in the area of complaints/grievances, redeterminations/reconsiderations and appeals for regulatory compliance. Responsible for daily operations of all required functional components of the process including reporting/audits, interface with other SWHP operational departments, maintenance of policies and procedures according to regulatory standards and duties supporting the goals and objectives of SWHP. Some travel between sites will be required. Requires a Bachelor´s degree in Nursing; Master´s degree in Nursing, Health Care Administration or other related health care field preferred. Active certification as a Legal Nurse Consultant, Risk Manager, or Paralegal is also preferred. You must have five years or greater work experience in health care or degree field plus one or more years of business appeal work.Join us, and believe in your career. To learn more about this and other opportunities, visit our careers link at: http://careers.sw.org Scott & White is a fully integrated health system and is the largest multi-specialty practice in Texas, and the sixth largest group practice in the nation. Scott & White employs more than 775 physicians and research scientists who care for patients covering 25,000 square miles across Central Texas. Scott & White has a 636-bed Level I Trauma acute care facility in Temple, an additional 50-bed Long Term Acute Care Hospital in Texas, another 150-bed acute care hospital in Temple, a 76-bed acute care facility in Round Rock (greater Austin area), and a network of 50 primary and specialty clinics throughout the region.Scott & White is an Equal Opportunity Employer | Tobacco-Free Environment.