California Licensed Clinical Appeals RN
VirtualVocationsEscondido, California, United Statesjob_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 RN, fully remote, requiring 4 or 5 workdays per week with weekends required.
Key Responsibilities
Review medical records and verify if requested services meet criteria
Analyze and evaluate pre-service appeals for clinical eligibility for coverage
Document determinations accurately and coordinate reviews with the Medical Director
Required Qualifications
Active, unrestricted RN license in state of residence
2+ years of clinical experience as an RN, including in an acute, inpatient hospital setting
Proficiency in Microsoft Office applications
Availability for 5-day work weeks, including weekends
serp_jobs.job_alerts.create_a_job
Clinical California • Escondido, California, United States
Job_description.internal_linking.related_jobs A company is looking for a Clinical Appeals RN to work on post-service appeals for Medicare-based claims remotely.Key Responsibilities : Review provider post-service appeals for Medicare and Retir...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Nurse RN 3 to review medical necessity for various levels of care.Key Responsibilities Evaluate medical necessity across different care levels using clinical expertise ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Manager Contracting to lead a team of contracting specialists in drafting and negotiating clinician employment agreements.
Key Responsibilities Lead a team in drafting, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Nurse Itemized Bill Reviewer (IBR Analyst).Key Responsibilities Perform in-depth reviews of medical claims using UB-04 and itemized statements Verify accuracy of itemi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour A company is looking for a Remote Case Manager.Key Responsibilities : Collaborate with a multidisciplinary healthcare team to monitor utilization patterns and facilitate appropriate care delivery ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for an RN Case Manager to provide comprehensive case management services remotely.Key Responsibilities : Provide telephonic case management and utilization review for assigned...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Utilization Management RN PRN.Key Responsibilities Analyze patient records to assess hospital admissions, treatment legitimacy, and appropriate care levels Facilitate ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
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
Stability Healthcare is seeking an experienced Outpatient Clinic Registered Nurse for an exciting Travel Nursing job in San Diego, CA.
Shift : 5x8 hr days Start Date : ASAP Duration : 13 weeks Pay : $27...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Clinical Appeals Coordinator, RN.Key Responsibilities Conducts and leads investigations and reviews for member and provider medical necessity appeals Reviews medical r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Regulatory Affairs Lead (Medical Devices).Key Responsibilities : Provide regulatory guidance and direction to cross-functional teams and company leadership Develop stra...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Coast Medical Service is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in San Diego, CA.
Shift : 5x8 hr flex Start Date : 10 / 06 / 2025 Duration : 13 weeks Pay : $...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Documentation Specialist RN.Key Responsibilities Conducts concurrent reviews of clinical documentation in medical records to ensure compliance and accuracy for...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Clinical Supervisor - RN - Full-time (Remote U.Key Responsibilities Lead and oversee all Utilization Management (UM) activities, ensuring accuracy and timely completion...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for an RCS-Analyst R.Key Responsibilities Identify, research, and resolve claim issues Follow-up with insurance companies, patients, and healthcare departments to resolve cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Licensed Clinical Therapist (LCSW / LPCC / LMFT) for a remote Adult Intensive Outpatient Program.
Key Responsibilities Provide virtual IOP remote group therapy via video con...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Licensed Clinical Therapist (LCSW / LMHC / LMFT) for an Adult Intensive Outpatient Virtual Group.
Key Responsibilities Provide virtual IOP remote group coverage via video co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for an Eligibility Specialist III.Key Responsibilities Maintain eligibility and billing for assigned accounts, ensuring compliance and accuracy Provide customer service and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
- serp_jobs.job_card.promoted
Maryland Licensed Clinical Appeals RN
VirtualVocationsOceanside, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Nurse RN
VirtualVocationsEl Cajon, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
California Licensed Contracting Manager
VirtualVocationsOceanside, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
California Licensed Nurse Reviewer
VirtualVocationsEl Cajon, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
North Carolina Licensed Case Manager
VirtualVocationsEl Cajon, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Iowa Licensed RN Case Manager
VirtualVocationsOceanside, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Florida Licensed Utilization Management RN
VirtualVocationsEscondido, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Psychiatric Technician - Statewide in CA
California Department of Corrections and RehabilitationAlpine, California, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - Outpatient Clinic - $2776 / Week - Hiring Now
Stability HealthcareEncinitas, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
West Virginia Licensed Appeals Nurse
VirtualVocationsEscondido, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
California Licensed Regulatory Affairs Lead
VirtualVocationsEl Cajon, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $3295 / Week - Hiring Now
Coast Medical ServiceEncinitas, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Colorado Licensed Clinical Documentation Specialist RN
VirtualVocationsChula Vista, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Indiana Licensed Clinical Supervisor RN
VirtualVocationsChula Vista, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Indiana Licensed RCS Analyst
VirtualVocationsOceanside, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Clinical Therapist
VirtualVocationsEl Cajon, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Florida Licensed Clinical Therapist
VirtualVocationsEl Cajon, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Eligibility Specialist
VirtualVocationsEl Cajon, California, United Statesserp_jobs.job_card.full_time