New York Licensed Clinical Appeals Specialist
VirtualVocationsTamarac, Florida, 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 a Clinical Denials & Appeals Specialist (Remote).
Key Responsibilities
Review and respond to Corporate Compliance Audits and denial trends
Prepare and defend level of care and medical necessity for assigned cases
Collaborate with healthcare professionals to facilitate appropriate level of care decisions and ensure compliance with regulations
Required Qualifications
Graduate from an accredited School of Nursing
Bachelor's Degree in Nursing preferred
Must be enrolled in an accredited BSN program within two years and obtain a BSN Degree within five years
Current License to practice as a Registered Professional Nurse in New York State required
3-5 years of experience in Utilization Review, Case Management, and Clinical Appeals preferred
serp_jobs.job_alerts.create_a_job
Clinical Specialist • Tamarac, Florida, United States
Job_description.internal_linking.related_jobs
Outpatient position covering multiple surgery centers.Case types include General, Regional, ENT, Ortho & GI.Care team model consists of 18 full time Anesthesiologists and 8 full time CRNAs.Cand...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Clinical Applications Professional 4 - Ambulatory.Key Responsibilities Lead the development, upgrade, enhancement, and support of Clinical Information systems Manage l...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for an Appeals and Letters Coordinator remote position.Key Responsibilities : Process denial-related and member-oriented written communications in compliance with Federal and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
AlliedTravelCareers is working with Medical Solutions to find a qualified Physical Therapist (PT) in Royal Palm Beach, Florida, 33411!.
A facility in Royal Palm Beach, FL is seeking its next amazing...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Clinical Denials & Appeals Specialist (Remote).Key Responsibilities Review and respond to Corporate Compliance Audits and denial trends Prepare and defend level of car...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Clinical Sales Specialist (CS) - Boca Raton, Fl.Corcept is leading the way in the research and development of cortisol modulators, molecules that regulate cortisol activity at the glucocorticoid re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days AlliedTravelCareers is working with Core Medical Group to find a qualified Speech Language Pathologist (SLP) in Belle Glade, Florida, 33430!.
We are looking for a healthcare professional who is read...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Counsel.Key Responsibilities Develop expertise on paid family and medical leave laws and analyze their impact on company products Participate in industry advocacy effo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
Quadrant Health Group! Quadrant Billing Solutions, .Claims Specialist to join our growing team.You will play a vital role focused on ensuring that healthcare services are delivered efficiently...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Appeals Coordinator.Key Responsibilities Act as the liaison for statewide appeals, ensuring compliance with State and NCQA requirements Review clinical inform...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for an Appeals Specialist to perform non-medical reviews and process redetermination letters.Key Responsibilities Perform non-medical reviews and process redetermination lett...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Patient Programs Specialist (Remote).Key Responsibilities Support management of complex and high-risk clinical situations for providers and patients Investigate clinic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Clinical Content Specialist to manage clinical content, lead research, and develop publications.
Key Responsibilities Own clinical guidelines and content, ensuring align...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Clinical Case Manager Behavioral Health - Work at Home.Key Responsibilities Conduct comprehensive assessments of members' needs and eligibility for services Facilitate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Medical Solutions Allied is seeking a travel Physical Therapist for a travel job in Royal Palm Beach, Florida.Job Description & Requirements.
We’re seeking talented healthcare professional...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Clinical Government Audit Analyst & Appeal Specialist II (Remote).Key Responsibilities Conduct thorough analyses of denials and ensure accurate coding while identifying...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Manager, Vendor Clinical Policy to join their Clinical Policy team.Key Responsibilities Evaluate vendor policy sets to ensure compliance with internal and external medi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days AlliedTravelCareers is working with Prime Time Healthcare to find a qualified MRI Tech in Wellington, Florida, 33449!.Now Hiring : Allied Healthcare MRI - Wellington, Florida.Contact us for Pay Info...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less
- serp_jobs.job_card.promoted
CRNA - Anesthesiology job available in Loxahatchee, Florida
Envision Physician ServicesLoxahatchee Groves, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
California Licensed Clinical Applications Professional
VirtualVocationsPompano Beach, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Tennessee Licensed Appeals Coordinator
VirtualVocationsHialeah, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tax Expert - 2+ Yrs Paid Tax Experience Required
IntuitBELLE GLADE, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Physical Therapist (PT) - $1,823 per week in Royal Palm Beach, FL
AlliedTravelCareersRoyal Palm Beach, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
New York Licensed Clinical Appeals Specialist
VirtualVocationsWest Palm Beach, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Sales Specialist (CS) - Boca Raton, FL
Corcept TherapeuticsBoca Raton, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Remote Financial Planner - AI Trainer
Data AnnotationWellington, Floridaserp_jobs.filters.remote
serp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Travel Speech Language Pathologist (SLP) - $1,890 per week in Belle Glade, FL
AlliedTravelCareersBelle Glade, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
New York Licensed Counsel
VirtualVocationsBoca Raton, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Specialist
Quadrant Health GroupBoca Raton, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Clinical Appeals Coordinator
VirtualVocationsDavie, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Appeals Specialist
VirtualVocationsWest Palm Beach, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Licensed Patient Programs Specialist
VirtualVocationsTamarac, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
State Licensed Clinical Content Specialist
VirtualVocationsBoca Raton, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Licensed Clinical Case Manager
VirtualVocationsHialeah, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Physical Therapist
Medical Solutions AlliedRoyal Palm Beach, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Audit Analyst II - RN Licensed
VirtualVocationsHollywood, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Clinical Policy Manager
VirtualVocationsWest Palm Beach, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Travel MRI Tech - $1,936 to $2,164 per week in Wellington, FL
AlliedTravelCareersWellington, FL, USserp_jobs.job_card.full_time