New York Licensed Clinical Appeals Specialist
VirtualVocationsMinneapolis, Minnesota, 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 • Minneapolis, Minnesota, United States
Job_description.internal_linking.related_jobs
Rula is a comprehensive behavioral health solution that works with a network of licensed clinicians to deliver high-quality care to individuals, couples, and families.
By taking care of all the new ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
We bring to life a healing ministry through our compassionate care and exceptional service.Join us and discover why Modern Healthcare Magazine named us in its Top 100 Places to Work.This position i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Clinical Sales Specialist (CS) - Minneapolis, MN.Corcept is leading the way in the research and development of cortisol modulators, molecules that regulate cortisol activity at the glucocorticoid r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Join Action Behavior Centers as a BCBA Clinical Director.And we commit to a response within 24 hours.Competitive Salary : $100,000 to $105,000 including bonuses.
Ability to earn more through addition...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Licensed Clinical Psychologist.Wage : Between $95-$180 an hour.Licensed Clinical Psychologists — Are you ready to launch or expand your private practice? .
Headway is here to help you start accepting...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Nexus Family Healing is looking to hire a Clinical Director to join our newest youth crisis and stabilization center set to open in fall 2025 in Hennepin County! This new youth crisis and stabiliza...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Join Action Behavior Centers as a BCBA Clinical Director.And we commit to a response within 24 hours.Ability to earn more through additional performance-based bonuses.
Get rewarded regularly for del...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better.
Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Senior Director of Clinical Consulting.Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.
The work you do with our team will dire...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Area Director / Clinic Director Partner.Our Area Director / Clinic Director Partner roll will oversee all aspects of patient care and clinic operations by managing multiple Clinic Directors within an a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond.
We deliver personalized health care experiences an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
PartnerRe is a leading, privately owned, multi-line global reinsurer with a reputation of financial stability and strength, and a commitment to rebuilding businesses and communities after risk even...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Clinical Contract Administrator III.This position supports clinical studies globally by preparing, reviewing, and negotiating a high volume of clinical study agreements and related documents.You wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days At Boston Scientific, we'll give you the opportunity to harness all that's within you by working in teams of diverse and high-performing employees, tackling some of the most important health indust...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
Clinical Contract Administrator III.This position supports clinical studies globally by preparing, reviewing, and negotiating a high volume of clinical study agreements and related documents.You wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Director / Senior Director, Clinical Trials Feasibility, Planning, and Analytics.New Jersey, US; Berlin, Germany; Cambridge, US.
Gaithersburg, US; London, United Kingdom; Mainz, Germany; Marburg, G...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Join Action Behavior Centers as a BCBA Clinical Director.And we commit to a response within 24 hours.Competitive Salary : $100,000 to $105,000 including bonuses.
Ability to earn more through addition...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Schedule : Part-time | 48 hours per pay period | Tuesday, Wednesday & Thursday | 8 am – 4 : 30 pm.As a Clinical Education Specialist, you’ll play a critical role in advancing clinical ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Clinical Compliance Specialist.Job Summary : The Clinical Compliance Specialist is responsible for ensuring 245G / 245I / 245F regulatory adherence, policy enforcement, and risk management initiatives.T...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Licensed Professional Clinical Counselor (LPCC) (No Associates)
Rula HealthSaint Paul, MN, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Clinical Doc Improvement Specialist, FT, Days (Rogers)
MercyRogers, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Sales Specialist (CS) - Minneapolis, MN
Corcept TherapeuticsMinneapolis, MN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
BCBA Clinical Director
Action Behavior Centers - ABA Therapy for AutismSt Paul, MN, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Licensed Clinical Psychologist
HeadwaySt. Paul, MN, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Clinical Director - $5,000 Sign On Bonus
Minnesota JobsMinneapolis, MN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
BCBA Clinical Director
Action Behavior CentersMaple Grove, MN, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Licensed Professional Clinical Counselor / LPCC
LifeStance HealthSaint Paul, MN, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Sr Director Clinical Consulting - Remote
UnitedHealth GroupCircle Pines, MN, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Peds Multi-site Director & Partner (PT, OT, or SLP License Required)
Ivy Rehab NetworkSaint Paul, MN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Services Optimization Business Analyst III
MedicaMinnetonka, MN, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Consultant - RN
PartnerReMaple Grove, MN, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Contract Specialist (Minneapolis)
ALKUMinneapolis, MN, USserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Product Complaint Analyst I
Minnesota JobsMaple Grove, MN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Contract Specialist
ALKUMinneapolis, MN, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Director / Senior Director, Clinical Trials Feasibility, Planning, and Analytics (US Remote)
BiontechSaint Paul, MN, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
BCBA Clinical Director (St Paul)
Action Behavior Centers - ABA Therapy for AutismSt Paul, MN, USserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Clinical Education Specialist
VivieHopkins, MN, USserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Medical Director - Pain Management Specialist - Remote
UnitedHealth GroupMinneapolis, MN, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Compliance Specialist
Minnesota JobsSaint Paul, MN, USserp_jobs.job_card.full_time