California Licensed Clinical Appeals RN
VirtualVocationsBrownsville, Texas, United Statesjob_description.job_card.variable_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 a Clinical Appeals RN, fully remote, requiring 4 or 5 workdays per week with weekends required.
Key Responsibilities
Review medical records and verify if requested services meet criteria
Analyze and evaluate pre-service appeals for clinical eligibility for coverage
Document determinations accurately and coordinate reviews with the Medical Director
Required Qualifications
Active, unrestricted RN license in state of residence
2+ years of clinical experience as an RN, including in an acute, inpatient hospital setting
Proficiency in Microsoft Office applications
Availability for 5-day work weeks, including weekends
serp_jobs.job_alerts.create_a_job
Clinical California • Brownsville, Texas, United States
Job_description.internal_linking.related_jobs A company is looking for an Eligibility Specialist III.Key Responsibilities Maintain eligibility and billing for assigned accounts, ensuring compliance and accuracy Provide customer service and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
TravelNurseSource is working with LRS Healthcare to find a qualified PICU RN in Harlingen, Texas, 78550!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Appeals RN to work on post-service appeals for Medicare-based claims remotely.Key Responsibilities : Review provider post-service appeals for Medicare and Retir...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Utilization Management RN PRN.Key Responsibilities Analyze patient records to assess hospital admissions, treatment legitimacy, and appropriate care levels Facilitate ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a California-based Psychiatrist (ABPN certified) to serve as a Clinical Liaison in a remote on-call capacity.
Key Responsibilities Provide emergency department and floor c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 TravelNurseSource is working with LRS Healthcare to find a qualified ER / Trauma RN in Harlingen, Texas, 78550!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits packag...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Appeals Coordinator, RN.Key Responsibilities Conducts and leads investigations and reviews for member and provider medical necessity appeals Reviews medical r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for an RCS-Analyst R.Key Responsibilities Identify, research, and resolve claim issues Follow-up with insurance companies, patients, and healthcare departments to resolve cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Manager Contracting to lead a team of contracting specialists in drafting and negotiating clinician employment agreements.
Key Responsibilities Lead a team in drafting, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Licensed Clinical Therapist (LCSW / LPCC / LMFT) for a remote Adult Intensive Outpatient Program.
Key Responsibilities Provide virtual IOP remote group therapy via video con...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for an RN Case Manager to provide comprehensive case management services remotely.Key Responsibilities : Provide telephonic case management and utilization review for assigned...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Regulatory Affairs Lead (Medical Devices).Key Responsibilities : Provide regulatory guidance and direction to cross-functional teams and company leadership Develop stra...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for an RN Intake and Referral Specialist.Key Responsibilities Accept and coordinate service referrals for home health services, ensuring all necessary information is gathered...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Nurse RN 3 to review medical necessity for various levels of care.Key Responsibilities Evaluate medical necessity across different care levels using clinical expertise ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Clinical Supervisor - RN - Full-time (Remote U.Key Responsibilities Lead and oversee all Utilization Management (UM) activities, ensuring accuracy and timely completion...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Nurse Itemized Bill Reviewer (IBR Analyst).Key Responsibilities Perform in-depth reviews of medical claims using UB-04 and itemized statements Verify accuracy of itemi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Licensed Clinical Therapist (LCSW / LMHC / LMFT) for an Adult Intensive Outpatient Virtual Group.
Key Responsibilities Provide virtual IOP remote group coverage via video co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
California Licensed Eligibility Specialist
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - PICU - $1,746 to $1,936 per week in Harlingen, TX
TravelNurseSourceHarlingen, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Maryland Licensed Clinical Appeals RN
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Florida Licensed Utilization Management RN
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Psychiatrist
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - ER / Trauma - $1,399 to $1,551 per week in Harlingen, TX
TravelNurseSourceHarlingen, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
West Virginia Licensed Appeals Nurse
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Indiana Licensed RCS Analyst
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Contracting Manager
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tax Associate
IntuitOlmito, TX, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Clinical Therapist
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Iowa Licensed RN Case Manager
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
California Licensed Regulatory Affairs Lead
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Oregon Licensed RN Intake Specialist
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Nurse RN
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Indiana Licensed Clinical Supervisor RN
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
California Licensed Nurse Reviewer
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Florida Licensed Clinical Therapist
VirtualVocationsBrownsville, Texas, United Statesserp_jobs.job_card.full_time