Talent.com
Maryland Licensed Clinical Appeals Nurse

Maryland Licensed Clinical Appeals Nurse

VirtualVocationsHollywood, Florida, United States
job_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 • Hollywood, Florida, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Clinical Partner 1, Nursing Unit - 3 North, $4000 Bonus, FT, 07P-7 : 30A

Clinical Partner 1, Nursing Unit - 3 North, $4000 Bonus, FT, 07P-7 : 30A

Baptist HealthMiami, FL, US
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Physician / Anesthesiology / Wisconsin / Permanent / Stevens Point, WI area full time CRNA job opening for B&B cases Job

Physician / Anesthesiology / Wisconsin / Permanent / Stevens Point, WI area full time CRNA job opening for B&B cases Job

Medical Associates ConsultingDeerfield Beach, Florida, United States
serp_jobs.job_card.full_time +1
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
  • serp_jobs.job_card.promoted
OASIS Assessments Clinician (Part-Time, Remote)

OASIS Assessments Clinician (Part-Time, Remote)

INMYTEAMMiami, FL, United States
serp_jobs.filters.remote
serp_jobs.job_card.part_time
INMYTEAM is a forward-thinking healthcare technology company focused on building innovative solutions that empower home health professionals. Our products aim to streamline workflows, enhance clinic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Clinical Partner 1, Nursing Unit - 4 East, $4000 Bonus, FT, 07P-7 : 30A

Clinical Partner 1, Nursing Unit - 4 East, $4000 Bonus, FT, 07P-7 : 30A

Baptist HealthMiami, FL, US
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Field Family Nurse Practitioner (Fresno, CA)

Field Family Nurse Practitioner (Fresno, CA)

Molina HealthcareMiami, FL, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Advanced Practice Provider

Advanced Practice Provider

OneOncologySunrise, FL, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Advanced Practice Provider

Advanced Practice Provider

SunState Medical SpecialistsBoca Raton, FL, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Medical HPSP

Medical HPSP

United States ArmyBal Harbour, FL, United States
serp_jobs.job_card.full_time
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_30
  • serp_jobs.job_card.promoted
Respiratory Care Practitioner (RRT)

Respiratory Care Practitioner (RRT)

Texas Nursing ServicesDoral, FL, US
serp_jobs.job_card.full_time +1
Respiratory Care Practitioner (RRT) – Doral, FL.Mixed shifts; rotating weekends.Serve a busy Miami-Dade medical center near Doral, providing evidence-based respiratory therapy across adult an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinical Partner 1, Nursing Unit - 3 South, PT, 07A-7 : 30P

Clinical Partner 1, Nursing Unit - 3 South, PT, 07A-7 : 30P

Baptist HealthMiami, FL, US
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
OPS MEDICAL DISABILITY CASE RECORD SPEC - 64858448

OPS MEDICAL DISABILITY CASE RECORD SPEC - 64858448

Florida State JobsMiami, FL, US
serp_jobs.job_card.full_time
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
Advanced Practice Provider - Cardiology

Advanced Practice Provider - Cardiology

Cardiovascular Associates of AmericaMiami, FL, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
MyCardiologist, a CVAUSA Partner, is dedicated to providing excellence in cardiac care to all patients, striving to make state-of-the-art technology accessible. Our clinical team and staff pride the...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
LPNP (Virtual)

LPNP (Virtual)

Headway - Design & DevelopmentFort Lauderdale, FL, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Clinical Partner 1, Nursing Unit - 4 East, $3000 Bonus, FT, 07A-7 : 30P

Clinical Partner 1, Nursing Unit - 4 East, $3000 Bonus, FT, 07A-7 : 30P

Baptist HealthMiami, FL, US
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
HHA

HHA

HCAOABoca Raton, FL, US
serp_jobs.job_card.full_time +1
Skilled Caregivers And Home Health Aids And Companions.Right at Home, In-Home Care & Assistance, is seeking to hire skilled caregivers and home health aids and companions to join a dynamic care tea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medical Case Manager

Medical Case Manager

Medical Audit ProfessionalsMiami, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
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
  • serp_jobs.job_card.promoted
Clinical Partner 1, Nursing Unit - 4 East, $4000 Bonus, FT, 7P-7 : 30A

Clinical Partner 1, Nursing Unit - 4 East, $4000 Bonus, FT, 7P-7 : 30A

Baptist HealthMiami, FL, US
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice in Stuart, FL

Nurse Practitioner (NP) - Family Practice in Stuart, FL

LocumJobsOnlineMiami, Florida, US
serp_jobs.job_card.full_time +1
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
  • serp_jobs.job_card.promoted
Telephonic Nurse Case Manager

Telephonic Nurse Case Manager

AmTrust FinancialBoca Raton, FL, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
HIGH RISK BREAST ADVANCED PRACTICE PROVIDER (Hollywood)

HIGH RISK BREAST ADVANCED PRACTICE PROVIDER (Hollywood)

Memorial Healthcare System Physician and Provider CareersHollywood, FL, US
serp_jobs.job_card.full_time +1
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