Virginia Licensed RN Clinical Appeals

VirtualVocationsBrownsville, Texas, 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 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 • Brownsville, Texas, United States

Job_description.internal_linking.related_jobs

serp_jobs.job_card.promoted

Washington DC Licensed PMHNP

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Remote Psychiatric Mental Health Nurse Practitioner (PMHNP).Key Responsibilities Provide psychiatric care to patients remotely Manage scheduling and patient appointmen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Board Certified Family Medicine Physician

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Board Certified Family Medicine Physician, PCP for a fully remote position.Key Responsibilities Provide high-quality preventative, acute, and chronic care in a virtual ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Non-Clinical Case Manager

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

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

serp_jobs.job_card.promoted

Patient Screening Specialist

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Patient Screening Specialist to efficiently screen, schedule, and guide patients through the clinical trial process. Key Responsibilities Conduct phone screenings to ass...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Physician Liaison

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Physician Liaison.Key Responsibilities Develop and maintain relationships with targeted physicians and clinical referral sources Coordinate community engagement activi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Idaho Licensed PMHNP

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Remote Psychiatric Mental Health Nurse Practitioner (PMHNP).Key Responsibilities Provide quality care to patients remotely Manage scheduling and patient appointments ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Registered Nurse Acute Rehab Full Time Nights

Valley Baptist Medical Center - HarlingenHARLINGEN, Texas, United States

serp_jobs.job_card.full_time

This position may qualify for a sign-on bonus.This role provides direct clinical patient care.The role will assume responsibility for assessing, planning, implementing direct clinical care to assig...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Texas Licensed Clinical Specialist

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Specialist - Behavioral Health (Remote).Key Responsibilities Utilize motivational interviewing techniques to engage patients in services Complete paperwork, r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted
serp_jobs.job_card.new

South Carolina Licensed RN Reviewer

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.Key Responsibilities Conduct medical claim reviews for complex services and det...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Health Outreach Associate

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Health Outreach Associate with sales experience.Key Responsibilities Conduct initial screening consultations and assessments with patients and caregivers Coordinate se...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Massachusetts Licensed Patient Outreach Coordinator

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Patient Outreach Coordinator with a MA Pharmacy License.Key Responsibilities Proactively grow the specialty pharmacy patient population by making outbound calls and enr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Family Health Advocate

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

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_1_day

serp_jobs.job_card.promoted

Nurse Practitioner : NC Licensed

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Nurse Practitioner to provide remote care for patients with diabetes.Key Responsibilities Provide video-based care to patients in the RPM program Deliver swift, empath...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted
serp_jobs.job_card.new

South Carolina Licensed RN Case Manager

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for an RN Concierge Care Manager - Case Manager.Key Responsibilities Direct day-to-day high-touch member management, including treatment plan coordination for high-risk popul...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Massachusetts Licensed Patient Engagement Specialist

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Patient Engagement Specialist with a MA Pharmacy License.Key Responsibilities : Proactively coordinate medication refills and adjudicate pharmacy claims Make outbound p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Connecticut Licensed PMHNP

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Remote Psychiatric Mental Health Nurse Practitioner (PMHNP).Key Responsibilities Provide quality mental health care to patients remotely Manage patient appointments an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted
serp_jobs.job_card.new

California Licensed Review Nurse

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

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_less

serp_jobs.job_card.promoted

Clinical Documentation Integrity Lead

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

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_1_day

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Clinical Response Specialist

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Response Specialist - PRN.Key Responsibilities Assist patients, families, and providers in navigating the admissions process Complete intake calls and manage ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

RN Licensed Appeals Specialist

VirtualVocationsBrownsville, Texas, United States

serp_jobs.job_card.full_time

A company is looking for an Appeals Specialist II - RN / LPN (REMOTE).Key Responsibilities Review and resolve pre-pay insurance denials in collaboration with follow-up teams Coordinate with Denial...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day