Maryland Licensed Clinical Appeals Nurse
VirtualVocationsDavie, Florida, 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 • Davie, Florida, United States
Job_description.internal_linking.related_jobs
The Clinical Partner (CP) provides basic technical nursing skills (deemed competent) and delegated tasks (i.Foley catheter) under the direction and / or supervision of the registered nurse in accorda...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
An established private practice in central WI has a full time CRNA job opening for B&B cases including OB, peds, regional, ortho & outpatient surgery.
Call is 1 : 5 with post call day off.SRNAs welcom...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career.
Challenging Work Feel inspired with great case di...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The Division of Hematology / Oncology at Memorial Cancer Institute is seeking a motivated and dynamic Nurse Practitioner (APRN) to join its team in a brand‐new and innovative role.This position offer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Holy Cross Medical Group is currently seeking board certified or board eligible Family Medicine, Internal Medicine, or Med-Peds physicians to join our established and new outpatient Primary Care pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings.
Provides needed care in the environm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 The Clinical Partner (CP) provides basic technical nursing skills (deemed competent) and delegated tasks (i.Foley catheter) under the direction and / or supervision of the registered nurse in accorda...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Primary Care Physician Fort Lauderdale, FLCOMPENSATION : Salary $250k+ Incentive Bonus + Signing Bonus up to $50kWe are a physician-led and mission-driven, primary care organization, is currently on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Advanced Practice Provider Opportunity.Nurse Practitioner or Physician Assistant.Private Practice, Outpatient / Inpatient.
Travel to both clinic locations required.We are seeking an experienced and co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Advanced Practice Provider Opportunity.Nurse Practitioner or Physician Assistant.Private Practice, Outpatient / Inpatient.
Advanced Practice Provider (APP) - a Nurse Practitioner (NP) or Physician Ass...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day Holy Cross Medical Group is currently seeking board certified or board eligible Family Medicine, Internal Medicine, or Med-Peds physicians to join our established and new outpatient Primary Care pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Ops Medical Disability Case Record Spec.The incumbent is responsible for the routine technical electronic records management activities relating to Social Security and Medically Needy disability cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 The Clinical Partner (CP) provides basic technical nursing skills (deemed competent) and delegated tasks (i.Foley catheter) under the direction and / or supervision of the registered nurse in accorda...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days The Clinical Partner (CP) provides basic technical nursing skills (deemed competent) and delegated tasks (i.Foley catheter) under the direction and / or supervision of the registered nurse in accorda...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours The Clinical Partner (CP) provides basic technical nursing skills (deemed competent) and delegated tasks (i.Foley catheter) under the direction and / or supervision of the registered nurse in accorda...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
We are looking for a foreign medical graduate ( ONLY), Spanish, English speaker, and or other languages with an excellent work ethic in Miami Florida geographical area.
Open position night shift / or ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
LocumJobsOnline is working with CompHealth to find a qualified Family Practice NP in Stuart, Florida, 34994!.Our client, located in St Lucie County, is seeking Advanced Practice Providers to add to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
US-TX-Dallas | US-GA-Alpharetta | US-FL-Boca Raton | US-FL-Maitland.AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.To ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Licensed Psychiatric Nurse Practitioner.Wage : Between $156-$206 an hour.Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?.Whether you wa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Memorial Cancer Institute (MCI), part of Memorial Healthcare System, is seeking a Nurse Practitioner or Physician Assistant to join its team.
Be part of an exciting build by joining the newly openin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Clinical Partner 1, Nursing Unit - 3 North, $4000 Bonus, FT, 07P-7 : 30A
Baptist HealthMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Physician / Anesthesiology / Wisconsin / Permanent / Stevens Point, WI area full time CRNA job opening for B&B cases Job
Medical Associates ConsultingDeerfield Beach, Florida, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Medical HPSP
United States ArmyHallandale Beach, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Infusion Advanced Practice Provider
HealthEcareers - ClientHollywood, FL, USAserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Primary Care Opportunity
Trinity HealthFort Lauderdale, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Field Family Nurse Practitioner (Fresno, CA)
Molina HealthcareMiami, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Clinical Partner 1, Nursing Unit - 4 East, $4000 Bonus, FT, 07P-7 : 30A
Baptist HealthMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Primary Care Opportunity in Fort. Lauderdale Making $300,000
Optigy GroupFort Lauderdale, Florida, United Statesserp_jobs.job_card.permanent
- serp_jobs.job_card.promoted
Advanced Practice Provider
OneOncologySunrise, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Advanced Practice Provider
SunState Medical SpecialistsBoca Raton, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Primary Care Opportunity
HealthEcareers - ClientFort Lauderdale, FL, USAserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
OPS MEDICAL DISABILITY CASE RECORD SPEC - 64858448
Florida State JobsMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Partner 1, Nursing Unit - 3 South, PT, 07A-7 : 30P
Baptist HealthMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Clinical Partner 1, Nursing Unit - 4 East, $3000 Bonus, FT, 07A-7 : 30P
Baptist HealthMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Partner 1, Nursing Unit - 4 East, $4000 Bonus, FT, 7P-7 : 30A
Baptist HealthMiami, FL, USserp_jobs.job_card.full_time
Medical Case Manager
Medical Audit ProfessionalsMiami, Florida, United Statesserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice in Stuart, FL
LocumJobsOnlineMiami, Florida, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Telephonic Nurse Case Manager
AmTrust FinancialBoca Raton, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
LPNP (Virtual)
Headway - Design & DevelopmentHollywood, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
HIGH RISK BREAST ADVANCED PRACTICE PROVIDER (Hollywood)
Memorial Healthcare System Physician and Provider CareersHollywood, FL, USserp_jobs.job_card.full_time +1