Virginia Licensed RN Clinical Appeals
VirtualVocationsIndependence, Missouri, United Statesjob_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 RN Clinical Appeals.
Key Responsibilities
Review denials and perform root cause analysis to improve processes and reduce denials
Contact insurance plans to determine reasons for claim denials and prepare necessary appeal materials
Act as a liaison between healthcare providers and ensure timely communication of denial trends and outcomes
Required Qualifications
Current unrestricted license to practice nursing (LPN, RN)
CRCR or other approved professional certification required within 9 months of hire
1 to 3 years of relevant experience
Associate's Degree or equivalent experience in Nursing
Preferred : 2 years of experience in denials, utilization review, or case management
serp_jobs.job_alerts.create_a_job
Rn Clinical Virginia • Independence, Missouri, United States
Job_description.internal_linking.related_jobs 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 Clinical Lead III (Rare Disease) to join their Global Clinical Management team.Key Responsibilities Lead global clinical teams and enhance efficiencies across studies a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Transitional Care Coordinator LPN.Key Responsibilities Oversee post-acute care utilization and monitor length of stay in skilled nursing facilities Coordinate discharg...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
LocumJobsOnline is working with Opportunity Healthcare to find a qualified Family Practice NP in Sheridan County, Kansas!.
FNP Family Nurse Practitioner job in Sheridan County, KS — offering up to $...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 Dodge City, Kansas, 67801!.A facility in the heart of southwest Kansas is searching for a Family Nurse Practitio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 LocumJobsOnline is working with VieMed Healthcare Staffing to find a qualified Administration NP in Missouri, Missouri, 64072!.
Partner with VHS in our mission to elevate healthcare staffing to new ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 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 A company is looking for a Women's Health Outbound Patient Advocate (Remote).Key Responsibilities Coordinate testing services by communicating with up to 50 patients and healthcare providers dail...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Patient Financial Navigator I.Key Responsibilities Ensure accurate patient medical records, including demographics and insurance coverage Provide financial education t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Memory Care Coordinator (Hybrid).Key Responsibilities Coordinate care and support for caregivers, developing individualized care plans and connecting them to resources ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours LocumJobsOnline is working with CompHealth to find a qualified Urgent Care NP in Dodge City, Kansas, 67801!.A Quick Care in the heart of southwest Kansas is hiring a Nurse Practitioner or Physician...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Join Our Team at Saint Luke's Hospital!.Are you an upcoming or recent graduate nurse eager to make a difference? Saint Luke's Hospital in Kansas City invites you to embark on an exciting jo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Licensed Professional Clinical Counselor (LPCC) to provide outpatient services through a telehealth program.
Key Responsibilities Provide outpatient mental health servic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 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 A company is looking for an LPN Health Coach in Care Management.Key Responsibilities Provide support to patients for clinical outcome management and healthy lifestyle information Complete transi...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 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_variable_hours 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 Clinical Documentation Integrity Lead - Service Line (Remote).Key Responsibilities Manage relationships between CDI and assigned service lines, collaborating with physi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Family Health Advocate to provide support to members and their families through healthcare navigation and resource facilitation.
Key Responsibilities Respond to member i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Multi-State Licensed Medical Provider
VirtualVocationsIndependence, Missouri, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Clinical Lead III - Rare Disease
VirtualVocationsIndependence, Missouri, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Florida Licensed Transitional Care Coordinator
VirtualVocationsIndependence, Missouri, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $125,000 to $150,000 per year in Sheridan County, KS
LocumJobsOnlineKansas City, Kansas, USserp_jobs.job_card.full_time +2
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice in Dodge City, KS
LocumJobsOnlineKansas City, Kansas, USserp_jobs.job_card.full_time +2
- serp_jobs.job_card.promoted
Locum Nurse Practitioner (NP) - Administration in Missouri, MO
LocumJobsOnlineMissouri, MO, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Behavioral Health Appeals Clinician
VirtualVocationsIndependence, Missouri, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Remote Patient Advocate
VirtualVocationsIndependence, Missouri, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Financial Navigator
VirtualVocationsIndependence, Missouri, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
New Jersey Licensed Memory Care Coordinator
VirtualVocationsIndependence, Missouri, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Urgent Care in Dodge City, KS
LocumJobsOnlineKansas City, Kansas, USserp_jobs.job_card.full_time +2
- serp_jobs.job_card.promoted
Nurse Residency Program- Neuro
Saint Luke's Hospital of Kansas CityKansas City, MO, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Ohio Licensed Clinical Counselor
VirtualVocationsIndependence, Missouri, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
LA Licensed Clinical Review Nurse
VirtualVocationsIndependence, Missouri, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Pennsylvania Licensed Health Coach
VirtualVocationsIndependence, Missouri, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Non-Clinical Case Manager
VirtualVocationsKansas City, Kansas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
California Licensed Review Nurse
VirtualVocationsKansas City, Kansas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Missouri Licensed Behavioral Health Case Manager
VirtualVocationsKansas City, Kansas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Documentation Integrity Lead
VirtualVocationsIndependence, Missouri, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Family Health Advocate
VirtualVocationsIndependence, Missouri, United Statesserp_jobs.job_card.full_time