Maryland Licensed Clinical Appeals Nurse
VirtualVocationsFresno, California, 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 • Fresno, California, United States
Job_description.internal_linking.related_jobs
Psychiatric Technician (Safety) Job Description and Duties The Psychiatric Technician (Safety) will be directed by the Unit Supervisor, RN Shift Lead, Senior Psychiatric Technician, or Health Servi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Psychiatric Technician - Statewide in CA Position : Psychiatric Technician Location : Statewide - Multiple Locations Throughout California Annual Salary Range : $71,460 - $105,084 California Correctio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
LocumJobsOnline is working with Healthcare Connections to find a qualified Family Practice NP in California, California, 93505!.
Passionate Nurse Practitioner Needed to Impact Lives at Growing Facil...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for an Appeals Nurse Consultant.Key Responsibilities Process medical necessity appeals for Medicare Part C from members and providers Collaborate with internal and external ...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_1_day Position : Clinical Social Worker Increased Salaries are Just the Beginning… The past few years have seen dramatic shifts in the health care landscape.
California Correctional Health Care Services (C...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Recognizing the need for top quality physicians, TPMG is currently seeking excellent full time, BC / BE.H1B opportunities may be available based on geographic preference.
Full-time annual salary range...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
LocumJobsNetwork is working with Healthcare Connections to find a qualified Family Practice NP in California, California, 93505!.
Passionate Nurse Practitioner Needed to Impact Lives at Growing Faci...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Field Case Manager (RN) – Full-Time, Permanent.Join a dynamic and growing Case Management company that empowers Registered Nurses with greater autonomy over their caseloads—while still offering the...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
LocumJobsOnline is working with Opportunity Healthcare to find a qualified Family Practice NP in Riverside County, California, 92239!.
FNP Family Nurse Practitioner job in Riverside County, CA offe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
We are currently seeking a skilled and compassionate Family Medicine Physician to join our dynamic team in Reedley, CA.The ideal candidate will have a strong background in family medicine, a commit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 LocumJobsOnline is working with Opportunity Healthcare to find a qualified Family Practice NP in Madera County, California!.
FNP Family Nurse Practitioner job in Madera County, CA offering up to $1...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days LocumJobsOnline is working with Opportunity Healthcare to find a qualified Family Practice NP in Riverside County, California, 92239!.
FNP Family Nurse Practitioner job in Riverside County, CA offe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
LocumJobsOnline is working with Opportunity Healthcare to find a qualified Family Practice NP in Riverside County, California, 92239!.
FNP Family Nurse Practitioner job in Riverside County, CA — off...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
We are currently seeking a skilled and compassionate Family Medicine Physician to join our dynamic team in Reedley, CA.The ideal candidate will have a strong background in family medicine, a commit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 We are currently seeking a skilled and compassionate Family Medicine Physician to join our dynamic team in Hanford, CA.The ideal candidate will have a strong background in family medicine, a commit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 We are currently seeking a skilled and compassionate Family Medicine Physician to join our dynamic team in Hanford, CA.The ideal candidate will have a strong background in family medicine, a commit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 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 LocumJobsOnline is working with CompHealth to find a qualified Neurosurgery NP in Central California, California, 93636!.
A large, state of the art hospital system in central California is seeking a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
Psychiatric Technician (Safety)
California Department of Corrections and RehabilitationRiverdale, California, USserp_jobs.job_card.permanent
- serp_jobs.job_card.promoted
Psychiatric Technician - Statewide in CA
California Department of Corrections and RehabilitationHuron, California, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice in California, CA
LocumJobsOnlineCalifornia, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
RN Appeals Nurse Consultant
VirtualVocationsVisalia, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Non-Clinical Case Manager
VirtualVocationsFresno, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Review Nurse
VirtualVocationsFresno, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Social Worker
California Department of Corrections and RehabilitationLATON, California, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Hospitalist Opportunity in Fresno | Central Valley California
The Permanente Medical Group, Inc. - N.CaliforniaFresno, Clovis, Selma, Oakhurst, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice in California, CA
LocumJobsNetworkCalifornia, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Field Case Manager (RN)
Pivotal Placement ServicesFresno, CA, USserp_jobs.job_card.full_time +1
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $145,000 to $156,000 per year in Riverside County, CA (Hiring Immediately)
LocumJobsOnlineIvesta, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Family Medicine Reedley Jefferson with Medical Directorship
Adventist HealthHanford, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $120,000 to $135,000 per year in Madera County, CA (Hiring Immediately)
LocumJobsOnlineMadera, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $135,000 per year in Riverside County, CA (Hiring Immediately)
LocumJobsOnlineIvesta, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $135,000 per year in Riverside County, CA
LocumJobsOnlineIvesta, CA, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Family Medicine Reedley Jefferson with Medical Directorship
HealthEcareers - ClientHanford, CA, USAserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Family Medicine Lacey Medical Plaza Suite 202 Hanford
HealthEcareers - ClientHanford, CA, USAserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Family Medicine Lacey Medical Plaza Suite 202 Hanford
Adventist HealthHanford, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Missouri Licensed Behavioral Health Case Manager
VirtualVocationsFresno, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Surgery - Neurosurgery - $68 to $100 per hour in Central California, CA
LocumJobsOnlineCentral California, CA, USserp_jobs.job_card.full_time +1