Maryland Licensed Clinical Appeals Nurse
VirtualVocationsOmaha, Nebraska, United Statesjob_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
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 adhering to corporate policies and regulations
Organizes appeal cases for physician review, compiling relevant information and communicating final decisions to members and providers
Utilizes nursing expertise to prioritize and assess appeal requests related to medical and behavioral health conditions, collaborating with external review organizations as necessary
Required Qualifications
High School Diploma or GED
Registered Nurse (RN) State Licensure required upon hire
2 years of medical-surgical or similar clinical experience, or 3 years in a mental health setting
Certified Case Manager (CCM) and / or Legal Nurse Consultant Certified (LNCC) preferred upon hire
Preferred BSN or MSN degree
serp_jobs.job_alerts.create_a_job
Licensed Clinical • Omaha, Nebraska, United States
Job_description.internal_linking.related_jobs
LocumJobsOnline is working with All Medical Personnel to find a qualified Family Practice NP in Central Nebraska, Nebraska, 68850!.
Family Nurse Practitioner | Physician Assistant |.Outpatient Corpo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Emergency Medicine physician job in Nebraska : Weatherby Healthcare is currently seeking a Emergency Physician in NE.If this opportunity sounds right for you, give us a call today to speak with an ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Medical Advanced Practice Provider - On-Call Telehealth.Key Responsibilities Admit new patients remotely and perform medication reconciliation Provide clinical decisio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Care Coordinator in the Mountain Time Zone.Key Responsibilities Engage and enroll patients through telephonic outreach, serving as their primary contact Develop and im...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Licensed Psychiatric Nurse Practitioner.Wage : Between $89-$203 an hour.Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?.Whether you wan...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for an Appeals Nurse Consultant.Key Responsibilities Process medical necessity appeals for Medicare Part C from members and providers Collaborate with internal and external ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Utilization Review Nurse (PRN).Key Responsibilities Review and evaluate electronic medical records for emergency admissions to assess medical necessity Apply clinical ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days LocumJobsOnline is working with CompHealth to find a qualified Family Practice NP in Omaha, Nebraska, 68130!.A full-time Advanced Practice Provider specializing in wound care is desired in Omaha NE...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days LocumJobsOnline is working with CompHealth to find a qualified Family Practice NP in Scottsbluff, Nebraska, 69361!.Our client in Scottsbluff, NE is seeking a Nurse Practitioner for their Family Pra...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days LocumJobsOnline is working with Barton Associates to find a qualified Family Practice NP in Nebraska!.We are seeking a Family Nurse Practitioner for a 70-day locum tenens assignment in Nebraska, st...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Job Summary and Responsibilities.Diagnose and treat various medical conditions.Develop and implement comprehensive treatment plans.
Conduct thorough medical examinations and histories.Communicate ef...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day LocumJobsOnline is working with Opportunity Healthcare to find a qualified Orthopedic Surgery NP in Scotts Bluff County, Nebraska, 69357!.
Orthopedics Nurse Practitioner job in Scotts Bluff County, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days LocumJobsOnline is working with Opportunity Healthcare to find a qualified Pediatrics NP in Scotts Bluff County, Nebraska, 69357!.
Pediatrics Nurse Practitioner job in Scotts Bluff County, NE — offe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 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_variable_hours 
Vetted is seeking a RN - Med Surg for a travel job in Omaha, Nebraska.The job was posted 21 days ago.The assignment starts on Sep 1 and is 13 weeks long with 8 hour shifts 5 days a week.You must li...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
As a Family Nurse Practitioner, the work you'll do on the U.Army health care team is not only an essential service, but also life changing.
Its a career that will make a difference in our Soldiers l...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Non-Clinical Case Manager to provide patient support remotely during the hours of 11-8p EST, M-F.
Key Responsibilities Provide virtual support to patients, case managers...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Behavioral Health Case Manager to provide support and advocacy for members with mental health conditions.
Key Responsibilities Facilitate member education and caregiver ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Pre-Service Review Nurse RN to work remotely in the Pacific or Mountain Time Zones.Key Responsibilities Conduct utilization management, including Prior Authorization Re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Perform concurrent reviews to determine overall health and appropriate level of care for members Review ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
- serp_jobs.job_card.promoted
Locum Nurse Practitioner (NP) - Family Practice in Central Nebraska, NE
LocumJobsOnlineBellevue, Nebraska, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Emergency Medicine
Weatherby HealthcarePapillion, Nebraska, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Multi-State Licensed Medical Provider
VirtualVocationsOmaha, Nebraska, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Care Coordinator
VirtualVocationsOmaha, Nebraska, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Licensed Psychiatric NP
HeadwayPapillion, NE, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Appeals Nurse Consultant
VirtualVocationsOmaha, Nebraska, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
State Licensed Utilization Review Nurse
VirtualVocationsOmaha, Nebraska, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice in Omaha, NE
LocumJobsOnlineOmaha, Nebraska, USserp_jobs.job_card.full_time +2
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice in Scottsbluff, NE
LocumJobsOnlineOmaha, Nebraska, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Locum Nurse Practitioner (NP) - Family Practice in Nebraska
LocumJobsOnlineBellevue, Nebraska, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Family Medicine - Direct Patient Care
CommonSpirit HealthOmaha, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Surgery - Orthopedic in Scotts Bluff County, NE
LocumJobsOnlineBellevue, Nebraska, USserp_jobs.job_card.full_time +2
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Pediatrics - General / Other - $125,000 to $150,000 per year in Scotts Bluff County, NE
LocumJobsOnlineBellevue, Nebraska, USserp_jobs.job_card.full_time +2
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Behavioral Health Appeals Clinician
VirtualVocationsOmaha, Nebraska, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN - Med Surg in Council Bluffs, IA - $2,316 / week
Vetted HealthCouncil Bluffs, IA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
FAMILY NURSE PRACTITIONER
U.S. Army 5th Medical Recruiting BattalionOmaha, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Non-Clinical Case Manager
VirtualVocationsOmaha, Nebraska, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Missouri Licensed Behavioral Health Case Manager
VirtualVocationsOmaha, Nebraska, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Review Nurse
VirtualVocationsOmaha, Nebraska, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
LA Licensed Clinical Review Nurse
VirtualVocationsOmaha, Nebraska, United Statesserp_jobs.job_card.full_time