Appeals and Denials RN

Davita Inc.; Little Rock (AR); On-site; USD 60,000 - 85,000; Full time

Job summary

Davita Inc., an established healthcare organization, is seeking an Appeals and Denials Nurse to effectively manage medication authorization requests. The ideal candidate will leverage clinical expertise to enhance patient care while ensuring compliance with national standards. Join a diverse team dedicated to improving health outcomes in Arkansas.

Benefits

Medical, Dental and Vision plans available

Holiday, Vacation and Sick Leave

Education discount for staff and dependents

Up to 10% matched retirement contribution

Basic Life Insurance up to $50,000

Career Training and Educational Opportunities

Merchant Discounts

Qualifications

• Valid Registered Nursing License required.
• Current BLS certification needed.
• Minimum of 1 year of RN experience.

Responsibilities

• Review medication authorization requests efficiently and accurately.
• Evaluate requests applying clinical expertise.
• Prepare and maintain documentation for audits.

Skills

Patient Care

Clinical Expertise

Documentation

Auditing

Education

Bachelor's Degree in Nursing

Associate's Degree in Nursing

Job description

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institutions will also view open positions and apply within Workday by searching for "Find Jobs for Students". All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through "My Draft Applications" located on your Candidate Home page.

Closing Date:

06/30/2025Type of Position:Clinical Staff - NursingJob Type:Regular

Work Shift:

Day Shift (United States of America)

Sponsorship Available:

NoInstitution Name: University of Arkansas for Medical Sciences

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

• Health: Medical, Dental and Vision plans available for qualifying staff and family
• Holiday, Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50,000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click theApply link/button.

The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

For general application assistance or if you have questions about a job posting, please contact Human Resources at [e-mail].

Department:ICE | CORE PA Cancer Medical Authorization

Department's Website:

Summary of Job Duties:The Appeals and Denials Nurse is responsible for the efficient and accurate review of medication authorization requests to ensure compliance with national standards. This role involves evaluating requests, applying clinical expertise to support high-quality patient care, preparing and maintaining documentation, and conducting audits of patient records. The nurse will also assist management with various tasks as needed, contributing to the overall effectiveness of the medication authorization process.Qualifications:

Minimum Qualifications:

• Bachelor's Degree, Associate's Degree, or Diploma RN, with Major: Registered Nurse.
• Minimum of 1 year of RN experience
• Valid Registered Nursing License
• Current BLS

Preferred Qualifications:

• BSN
• Minimum of 3 years of RN experience
• CCM, OCN, or other oncology related national certification.
• Experience in Prior Authorizations and Billing
• Oncology Experience
• Appeals and Denials Experience

Additional Information:

Responsibilities:

• The Registered Nurse III will promote wellness; improve outcomes, and self-care within a defined population of patients.
• The RN III will provide patients who have chronic conditions the support, education, and assistance in the prevention and/or maintenance of their disease and/or health and wellness state.
• Will work with the individual patient, their families, and providers of care to develop and implement individual health plans and provide support to the patient in self-management.
• Coordinate care and/or follow-up for patients who receive care in outpatient facilities.
• Coordination of prescription refill requests and patient education coordination in collaboration with physician staff.
• Commitment to patient outcomes results in high levels of performance despite workload changes.

Salary Information:

Commensurate with education and experience.

Required Documents to Apply:

License or Certificate (see special instructions for submission instructions), List of three Professional References (name, email, business title), Resume

Optional Documents:

Proof of Veteran StatusSpecial Instructions to Applicants:

Recruitment Contact Information:

Please contact [e-mail] any recruiting relatedquestions.

All application materials must be uploaded to the University of Arkansas System Career Sitehttps://uasys.wd5.myworkdayjobs.com/UASYS

Please do not send to listed recruitment contact.

Pre-employment Screening Requirements:Annual TB Screening, Criminal Background Check

This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.

Constant Physical Activity:Feeling, Hearing, Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting, TalkingFrequent Physical Activity:Grasping, Reaching, Standing, WalkingOccasional Physical Activity:Crouching, Kneeling, Lifting, Pulling, Pushing, StoopingBenefits Eligible:Yes