New York Licensed Clinical Appeals Specialist
VirtualVocationsOakland, California, 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 • Oakland, California, United States
Job_description.internal_linking.related_jobs 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 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 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 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 
TotalMed Staffing is seeking an experienced Licensed Clinical Social Worker for an exciting Travel Allied job in Green Brae, CA.
Shift : 3x12 hr days Start Date : ASAP Duration : 13 weeks Pay : $2327.We...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
AlliedTravelCareers is working with LRS Healthcare to find a qualified Licensed Clinical Social Worker in Greenbrae, California, 94904!.
Ready to start your next travel adventure? LRS Healthcare off...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 
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_30
We are seeking a highly skilled and detail-oriented Contract Attorney or Paralegal with expertise in the 340B Drug Pricing Program to join our team on a remote, contract basis.This role will provid...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 AlliedTravelCareers is working with LRS Healthcare to find a qualified Licensed Clinical Social Worker in Greenbrae, California, 94904!.
Ready to start your next travel adventure? LRS Healthcare off...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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_30 AlliedTravelCareers is working with Lancesoft Inc.Licensed Clinical Social Worker in Greenbrae, California, 94904!.This role is integral in coordinating care for patients in urgent and emergent set...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days AlliedTravelCareers is working with Skyline Med Staff to find a qualified Licensed Clinical Social Worker in Greenbrae, California, 94904!.
Join the Top- Rated Travel Healthcare Team! Skyline Med S...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 
Remote (Must reside in California or Arizona).We are seeking a highly skilled and experienced.Clinical Application Specialist (CAS).
This is a remote role with frequent travel across the United Stat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days AlliedTravelCareers is working with Lancesoft Inc.Licensed Clinical Social Worker in Greenbrae, California, 94904!.Emergency Department Psychiatric Social Worker.
This role involves working closely ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 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 
We're changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with y...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours)
Bass Surgery Center is hiring a Clinical Manager.Welcome to Bass Surgery Center,.ASC environment committed to producing the highest quality work and experience for patients and their families.Clini...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
Appeals Specialist
VirtualVocationsSan Jose, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Tennessee Licensed Appeals Coordinator
VirtualVocationsHayward, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Clinical Policy Manager
VirtualVocationsSan Francisco, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Licensed Patient Programs Specialist
VirtualVocationsHayward, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Licensed Clinical Social Worker - $2327.53 / Week
TotalMed StaffingGreen Brae, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Licensed Clinical Social Worker (LCSW) - $2,118 to $2,348 per week in Greenbrae, CA
AlliedTravelCareersGreenbrae, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Audit Analyst II - RN Licensed
VirtualVocationsSanta Clara, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Psychologist (PsyD, PhD) - Moss Beach, CA
LifeStance HealthMoss Beach, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Healthcare Lawyer (340B)
Vivo HealthStaffBerkeley, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Licensed Clinical Social Worker (LCSW) - $1,969 to $2,184 per week in Greenbrae, CA
AlliedTravelCareersGreenbrae, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Licensed Mental Health Therapist (LMFT, LCSW, LPCC) - Moss Beach, CA
LifeStance HealthMoss Beach, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Licensed Clinical Social Worker (LCSW) - $2,900 per week in Greenbrae, CA
AlliedTravelCareersGreenbrae, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Travel Licensed Clinical Social Worker (LCSW) - $2,376 per week in Greenbrae, CA
AlliedTravelCareersGreenbrae, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
California Licensed Clinical Applications Professional
VirtualVocationsConcord, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Application Specialist - Remote (CA or AZ-Based)
Luneau Technology USA Inc & SubsidiarySan Jose, CA, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Licensed Clinical Social Worker (LCSW) - $2,750 per week in Greenbrae, CA
AlliedTravelCareersGreenbrae, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
New York Licensed Clinical Appeals Specialist
VirtualVocationsFremont, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Clinical Appeals Coordinator
VirtualVocationsSan Jose, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Associated Center Clinical Director
ChenMedWoodside, Texas, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Manager
Bass Surgery Center (11621)WALNUT CREEK, California, United Statesserp_jobs.job_card.full_time