serp_jobs.error_messages.no_longer_accepting

RN Clinical Appeals Reviewer

VirtualVocationsBrownsville, Texas, United States

job_description.job_card.30_days_ago

serp_jobs.job_preview.job_type

serp_jobs.job_card.full_time

job_description.job_card.job_description

A company is looking for an IBR Clinical Appeals Reviewer - Remote.

Key Responsibilities

Analyze and respond to IBR Appeals inquiries

Perform medical record reviews and prepare written appeals

Collaborate with auditors and leadership to review impacted claims

Required Qualifications

Undergraduate nursing degree

Unrestricted RN (registered nurse) license

2+ years of appeals experience (coding or auditing)

Experience with CPT-4 and ICD10 CM / PCS coding

Advanced knowledge of regulations and compliance in appeals

serp_jobs.job_alerts.create_a_job

Rn Clinical • Brownsville, Texas, United States

Job_description.internal_linking.related_jobs

serp_jobs.job_card.promoted

RN Denials Management Associate Manager

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for an Associate Manager RN Denials Management.Key Responsibilities Oversee operations of the team to ensure efficient payer denial and appeal reviews Supervise team members...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Utilization Review Clinical Liaison

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Utilization Review Clinical Liaison.Key Responsibilities Serve as the primary point of contact for 1st level utilization review (UR) cases Coordinate 2nd level escalat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Tennessee Licensed Clinical Review Manager

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Review Manager to oversee medical reviews for utilization management.Key Responsibilities Initiate referrals for appropriate coordination of care Assist in co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

State Licensed Clinical Content Reviewer

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Content Editor - PGY-1 / Medical Students.Key Responsibilities Collaborate with a multidisciplinary team to create and curate content on emerging medical technol...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Travel Emergency Room RN I - $1,504 per week

Nightingale NursesPalm Valley, TX, US

serp_jobs.job_card.full_time

Nightingale Nurses is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Harlingen, Texas.Job Description & Requirements Specialty : ED - Emergency Department Discipline...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

South Carolina Licensed RN Reviewer

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.Key Responsibilities Conduct medical claim reviews for complex services and det...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Clinical Compliance Manager - RN

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Compliance Program Manager who will ensure compliance with Utilization Management and Quality Improvement Program regulations. Key Responsibilities : Facilitate ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Registered Nurse Clinical Content Reviewer

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Panel Review Subject Matter Expert (SME).Key Responsibilities Collaborate with a multidisciplinary team to create and curate content on emerging medical technologies C...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

RN Clinical Appeals Specialist

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Appeals RN - Remote.Key Responsibilities Perform initial assessments of appeals, medical records, and compliance with coverage criteria Identify additional in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted
serp_jobs.job_card.new

RN Licensed Senior Bill Reviewer

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Senior Complex Bill Reviewer.Key Responsibilities Conduct medical reviews of provider and hospital bills for accuracy and compliance Audit complex medical bills and va...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted
serp_jobs.job_card.new

RN Case Management Manager

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Manager, Case Management.Key Responsibilities Oversee the execution and implementation of Clinical Programs' strategy and operations Lead and develop a team of clinica...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Tennessee Licensed Senior Medical Reviewer

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Registered Nurse Senior Medical Reviewer (Home Health and Hospice).Key Responsibilities Acts as team leader for medical review and case management, providing guidance a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

New York RN Case Manager

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for an RN Case Manager.Key Responsibilities Coordinate all aspects of a patient's care, including medical, behavioral, functional, and social needs Conduct ongoing care coor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

New Jersey Licensed Physical Medicine Reviewer

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a New Jersey Board Certified Physical Medicine & Rehabilitation specialist.Key Responsibilities Conduct thorough reviews of clinical cases and evaluate medical records P...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

RN Clinical Documentation Consultant

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a CDI Consultant to support clinical documentation improvement in a remote capacity.Key Responsibilities Review and evaluate medical record documentation for completeness...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Maryland Licensed Clinical Appeals Nurse

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Appeals Nurse (Remote).Key Responsibilities Investigates and analyzes written appeals and reconsideration requests, responding with detailed letters while adhe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Hawaii Licensed Review Nurse RN

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Preservice Review Nurse RN - Remote in Hawaii.Key Responsibilities Assess and interpret customer needs and requirements Identify solutions to non-standard requests and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

California Licensed RN Admissions Coordinator

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Remote RN Admissions Coordinator Long-Term Care & Rehabilitation.Key Responsibilities Coordinate and oversee admissions and transitions of care for members entering...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Clinical Case Manager - Registered Nurse (RN) - Case Management

Aveanna HealthcareOlmito, TX, USA

serp_jobs.job_card.full_time

Clinical Case Manager - Registered Nurse (RN).Requisition # : 199339 Location : Olmito, TX 78575 Category : Nursing Salary : Starting at $65,000. Position Details Clinical Case Manager (RN) $5,000 SIGN...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Behavioral Health Appeals Clinician

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Review Clinician Appeals - Behavioral Health.Key Responsibilities Performs clinical reviews to resolve and process appeals by analyzing medical records and cli...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day