Talent.com
Texas Licensed Clinical Appeals Coordinator

Texas Licensed Clinical Appeals Coordinator

VirtualVocationsTamarac, Florida, 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 a Clinical Appeals Coordinator.

Key Responsibilities

Act as the liaison for statewide appeals, ensuring compliance with State and NCQA requirements

Review clinical information and prepare reviews for cases that did not meet medical necessity criteria

Coordinate Fair Hearings and maintain files and logs for all appeals

Required Qualifications, Training, and Education

RN with 4+ years of clinical nursing or case management experience, or LPN / LVN with 5+ years of experience

Managed care or utilization review experience preferred

Current state license as an RN, LPN, or LVN

Master's degree in a specialty therapy area or equivalent experience for specific therapy roles

Current state license in Physical Therapy, Occupational Therapy, or Speech-Language Therapy as applicable

serp_jobs.job_alerts.create_a_job

Clinical Coordinator • Tamarac, Florida, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Coordinator III

Coordinator III

Cleveland ClinicFort Lauderdale, FL, US
serp_jobs.job_card.full_time
At Cleveland Clinic Health System, We Believe In A Better Future For Healthcare.And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Registrar

Patient Registrar

Veterans StaffingLake Worth, FL, US
serp_jobs.job_card.full_time
Do you want to join an organization that invests in you as a Patient Registrar? At HCA Florida JFK Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support ou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
CRNA - Anesthesiology job available in Loxahatchee, Florida

CRNA - Anesthesiology job available in Loxahatchee, Florida

Envision Physician ServicesLoxahatchee Groves, FL, US
serp_jobs.job_card.full_time
Outpatient position covering multiple surgery centers.Case types include General, Regional, ENT, Ortho & GI.Care team model consists of 18 full time Anesthesiologists and 8 full time CRNAs.Cand...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Bilingual Fulfillment Coordinator

Bilingual Fulfillment Coordinator

HumanaHollywood, FL, US
serp_jobs.job_card.full_time
Become a Part of Our Caring Community and Help Us Put Health First.The Fulfillment Coordinator contributes to administration of care management. Provides non-clinical support to the assessment and v...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Administrative Coordinator

Clinical Administrative Coordinator

UnitedHealth GroupPompano Beach, FL, US
serp_jobs.job_card.full_time
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_variable_days
  • serp_jobs.job_card.promoted
Patient Coordinator - Bilingual

Patient Coordinator - Bilingual

AkuminLake Worth Beach, FL, US
serp_jobs.job_card.full_time
The Patient Coordinator is responsible for performing a variety of customer service and patient care tasks to ensure a positive patient experience. Ensures documentation and patient records are prep...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Referral Coordinator

Referral Coordinator

South Florida Community Care Network LLCFort Lauderdale, FL, US
serp_jobs.job_card.full_time
Responsible for the daily workflow of the Medical Management Department and the processing of referrals in an efficient manner. Essential Duties and Responsibilities : .Processes requests for authoriz...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Clinical Administrative Coordinator

Clinical Administrative Coordinator

OptumMARGATE, FL, United States
serp_jobs.job_card.full_time
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_variable_days
  • serp_jobs.job_card.promoted
Admission Coordinator

Admission Coordinator

Lifespace CommunitiesDelray Beach, FL, US
serp_jobs.job_card.permanent
At Lifespace, team members are at the center of delivering a purpose driven experience for our residents! We provide an environment where each team member can live their aspirations, developing in ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
New Patient Scheduling Coordinator BilingualNewMiramar, Florida, United States

New Patient Scheduling Coordinator BilingualNewMiramar, Florida, United States

The Oncology Institute of Hope and InnovationHollywood, FL, US
serp_jobs.job_card.full_time
New Patient Scheduling Coordinator Bilingual.Founded in 2007, The Oncology Institute of Hope and Innovation (TOI) is advancing oncology by delivering highly specialized, value-based cancer care in ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Sr. Clinical Program Coordinator (H)

Sr. Clinical Program Coordinator (H)

University of MiamiFort Lauderdale, FL, US
serp_jobs.job_card.full_time
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a facu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Health Unit Coordinator - Telemetry

Health Unit Coordinator - Telemetry

Cleveland ClinicFort Lauderdale, FL, US
serp_jobs.job_card.full_time
At Cleveland Clinic Health System, We Believe in a Better Future for Healthcare.Each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the pati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Clinical Supervisor (Lake Worth)

Clinical Supervisor (Lake Worth)

Banyan Treatment CentersLake Worth, FL, US
serp_jobs.job_card.full_time +1
Exciting Opportunity with Banyan Treatment Centers!.Clinical Supervisor (LMHC, LCSW, or LMFT).In this role, you will oversee clinical services, guide therapeutic practices, and ensure the highest s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
•Referral Coordinator needed for Oncology clinic in Orlando, FL - Incredible benefits!

•Referral Coordinator needed for Oncology clinic in Orlando, FL - Incredible benefits!

HealthPlus StaffingPompano Beach, FL, US
serp_jobs.job_card.full_time
HealthPlus Staffing is assisting one of the most established.Health, Dental, Vision, PTO, Paid Holidays, Life insurance, profit sharing, bonuses. Requesting all authorizations and referrals.Verifyin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Associate Center Clinical Director

Associate Center Clinical Director

ChenMedRoyal Palm Beach, FL, US
serp_jobs.job_card.full_time
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 o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Coordinator

Medical Coordinator

Childnet IncWest Palm Beach, FL, US
serp_jobs.job_card.full_time
CBC) agency servicing Broward and Palm Beach County.We are contracted with the State of Florida, Department of Children and Families, to provide case management support to abused, abandoned, and ne...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Admissions Coordinator

Admissions Coordinator

ICBDLauderdale Lakes, FL, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Admissions Coordinator - Behavioral Health – Exact Billing Solutions (EBS) .About Exact Billing Solutions .Exact Billing Solutions is a unique team of medical billing professionals specia...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
New Patient Scheduling Coordinator Bilingual

New Patient Scheduling Coordinator Bilingual

The Oncology Institute of Hope and InnovationHollywood, FL, US
serp_jobs.job_card.full_time
New Patient Scheduling Coordinator Bilingual.Founded in 2007, The Oncology Institute of Hope and Innovation (TOI) is advancing oncology by delivering highly specialized, value-based cancer care in ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Associate Director Clinical Operations

Associate Director Clinical Operations

AppleOne Employment ServicesHollywood, FL, United States
serp_jobs.job_card.full_time
Associate Clinical Operations Director (ARNP or PA).Hollywood, Big Cypress, Brighton, and Immokalee, FL.Travel Required – Vehicle Provided. Associate Clinical Operations Director.This is a unique le...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
External (Posting) AP Coordinator

External (Posting) AP Coordinator

WellpathPembroke Pines, FL, US
serp_jobs.job_card.full_time
Everything we do is about taking care of people.Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30