Talent.com
Maryland Licensed Clinical Appeals Nurse
Maryland Licensed Clinical Appeals NurseVirtualVocations • Riverside, California, United States
Maryland Licensed Clinical Appeals Nurse

Maryland Licensed Clinical Appeals Nurse

VirtualVocations • Riverside, California, United States
job_description.job_card.variable_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 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 • Riverside, California, United States

Job_description.internal_linking.related_jobs
Travel Nurse - RN - LD - Labor and Delivery - $2978.64 / Week - Hiring Now

Travel Nurse - RN - LD - Labor and Delivery - $2978.64 / Week - Hiring Now

TRS Healthcare • Murrieta, CA, US
serp_jobs.job_card.full_time
TRS Healthcare is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Murrieta, CA. Shift : 3x12 hr nights Start Date : 11 / 03 / 2025 Duration : 13 weeks Pay : ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Travel Nurse RN - Labor and Delivery

Travel Nurse RN - Labor and Delivery

Coast Medical Service • Murrieta, CA, US
serp_jobs.job_card.full_time
Coast Medical Service is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Murrieta, California.Job Description & Requirements. Coast Medical Service is a nationwide trave...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Licensed Marriage Family Therapist - (LMFT) - Hybrid Role - San Jacinto, CA

Licensed Marriage Family Therapist - (LMFT) - Hybrid Role - San Jacinto, CA

LifeStance Health • San Jacinto, CA, US
serp_jobs.job_card.full_time
We are actively looking to hire talented therapists in the Temecula area, who are passionate about patient care and committed to clinical excellence. Wanting to deliver high quality behavioral healt...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse - RN - LD - Labor and Delivery - $2875 / Week

Travel Nurse - RN - LD - Labor and Delivery - $2875 / Week

Stability Healthcare • Murrieta, CA, US
serp_jobs.job_card.full_time
Stability Healthcare is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Murrieta, CA. Shift : 3x12 hr nights Start Date : ASAP Duration : 13 weeks Pay : ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Travel Nurse RN - Home Health

Travel Nurse RN - Home Health

Coast Medical Service • Hesperia, CA, US
serp_jobs.job_card.full_time
Coast Medical Service is seeking a travel nurse RN Home Health for a travel nursing job in Hesperia, California.Job Description & Requirements. Coast Medical Service is a nationwide travel nursi...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Nurse - RN - LD - Labor and Delivery - $2902.92 / Week - Hiring Now

Travel Nurse - RN - LD - Labor and Delivery - $2902.92 / Week - Hiring Now

Medical Solutions • Murrieta, CA, US
serp_jobs.job_card.full_time
Medical Solutions is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Murrieta, CA. Shift : 2x12 hr nights Start Date : 11 / 03 / 2025 Duration : 13 weeks Pa...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Travel Nurse - RN - LD - Labor and Delivery - $2518.93 / Week - Hiring Now

Travel Nurse - RN - LD - Labor and Delivery - $2518.93 / Week - Hiring Now

Atlas MedStaff • Murrieta, CA, US
serp_jobs.job_card.full_time
Atlas MedStaff is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Murrieta, CA. Shift : 3x12 hr PMs Start Date : 11 / 03 / 2025 Duration : 13 weeks Pay : $25...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Travel Nurse - RN - LD - Labor and Delivery - $2875 / Week - Hiring Now

Travel Nurse - RN - LD - Labor and Delivery - $2875 / Week - Hiring Now

Stability Healthcare • Murrieta, CA, US
serp_jobs.job_card.full_time
Stability Healthcare is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Murrieta, CA. Shift : 3x12 hr nights Start Date : ASAP Duration : 13 weeks Pay : ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Licensed Marriage Family Therapist - (LMFT) - Hybrid Role - Beaumont, CA

Licensed Marriage Family Therapist - (LMFT) - Hybrid Role - Beaumont, CA

LifeStance Health • Beaumont, CA, US
serp_jobs.job_card.full_time
We are actively looking to hire talented therapists in the Temecula area, who are passionate about patient care and committed to clinical excellence. Wanting to deliver high quality behavioral healt...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse - RN - Home Health - $2548.8 / Week

Travel Nurse - RN - Home Health - $2548.8 / Week

TotalMed Staffing • Hesperia, CA, US
serp_jobs.job_card.full_time
TotalMed Staffing is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in Hesperia, CA. Shift : 5x8 hr days Start Date : 10 / 20 / 2025 Duration : 13 weeks Pay : $2548.W...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Licensed Marriage Family Therapist - (LMFT) - Hybrid Role - Hemet, CA

Licensed Marriage Family Therapist - (LMFT) - Hybrid Role - Hemet, CA

LifeStance Health • Hemet, CA, US
serp_jobs.job_card.full_time
We are actively looking to hire talented therapists in the Temecula area, who are passionate about patient care and committed to clinical excellence. Wanting to deliver high quality behavioral healt...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse - RN - LD - Labor and Delivery - $2915 / Week

Travel Nurse - RN - LD - Labor and Delivery - $2915 / Week

Medpro Healthcare Staffing • Murrieta, CA, US
serp_jobs.job_card.full_time
Medpro Healthcare Staffing is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Murrieta, CA. Shift : 3x12 hr nights Start Date : 11 / 03 / 2025 Duration : 13...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted
Travel Nurse - RN - LD - Labor and Delivery - $2933 / Week - Hiring Now

Travel Nurse - RN - LD - Labor and Delivery - $2933 / Week - Hiring Now

Coast Medical Service • Murrieta, CA, US
serp_jobs.job_card.full_time
Coast Medical Service is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Murrieta, CA. Shift : 3x12 hr nights Start Date : 11 / 03 / 2025 Duration : 13 week...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Travel Nurse - RN - ER - Emergency Room - $2706.4 / Week - Hiring Now

Travel Nurse - RN - ER - Emergency Room - $2706.4 / Week - Hiring Now

Medical Solutions • Murrieta, CA, US
serp_jobs.job_card.full_time
Medical Solutions is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Murrieta, CA. Shift : 2x12 hr nights Start Date : 11 / 03 / 2025 Duration : 13 weeks Pay : $...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Travel Nurse - RN - LD - Labor and Delivery - $2718.68 / Week - Hiring Now

Travel Nurse - RN - LD - Labor and Delivery - $2718.68 / Week - Hiring Now

FlexCare • Murrieta, CA, US
serp_jobs.job_card.full_time
FlexCare is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Murrieta, CA. Shift : 3x12 hr nights Start Date : 11 / 03 / 2025 Duration : 13 weeks Pay : $2718....serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Travel Nurse RN - Home Health

Travel Nurse RN - Home Health

Skyline Med Staff Home Health • Hesperia, CA, US
serp_jobs.job_card.full_time
Skyline Med Staff Home Health is seeking a travel nurse RN Home Health for a travel nursing job in Hesperia, California.Job Description & Requirements. Weekly amount stated in the job postings i...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Nurse RN - Home Health

Travel Nurse RN - Home Health

Host Healthcare • Hesperia, CA, US
serp_jobs.job_card.full_time
Host Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Hesperia, California.Job Description & Requirements. Pay package is based on 8 hour shifts and 40 hours per w...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Local Contract Nurse RN - Home Health

Local Contract Nurse RN - Home Health

Host Healthcare • Hesperia, CA, US
serp_jobs.job_card.full_time
Host Healthcare is seeking a local contract nurse RN Home Health for a local contract nursing job in Hesperia, California. Job Description & Requirements.Pay package is based on 8 hour shifts an...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Nurse RN - Case Management

Travel Nurse RN - Case Management

LanceSoft • Wildomar, CA, US
serp_jobs.job_card.permanent
LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Wildomar, California.Job Description & Requirements. Shift Notes : 08 : 00 AM to 04 : 30 PM.Established in 2000, Lan...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Nurse - RN - Home Health - $2548.8 / Week - Hiring Now

Travel Nurse - RN - Home Health - $2548.8 / Week - Hiring Now

TotalMed Staffing • Hesperia, CA, US
serp_jobs.job_card.full_time
TotalMed Staffing is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in Hesperia, CA. Shift : 5x8 hr days Start Date : 10 / 20 / 2025 Duration : 13 weeks Pay : $2548.W...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted