Virginia Licensed RN Clinical Appeals
VirtualVocationsMission Viejo, 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 an RN Clinical Appeals.
Key Responsibilities
Review denials and perform root cause analysis to improve processes and reduce denials
Contact insurance plans to determine reasons for claim denials and prepare necessary appeal materials
Act as a liaison between healthcare providers and ensure timely communication of denial trends and outcomes
Required Qualifications
Current unrestricted license to practice nursing (LPN, RN)
CRCR or other approved professional certification required within 9 months of hire
1 to 3 years of relevant experience
Associate's Degree or equivalent experience in Nursing
Preferred : 2 years of experience in denials, utilization review, or case management
serp_jobs.job_alerts.create_a_job
Rn Clinical Virginia • Mission Viejo, California, United States
Job_description.internal_linking.related_jobs
Join a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a.Southern California Treatment Program.
Rite of Passage’s Southern California T...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
OFFICE HOURS : M or W 7 : 30am - 4 : 30pm.JOB DESCRIPTION : SRPs, prophies, checkup x-rays arrestin, irrigation, laser (Sol), 1 hour per patient.
Present treatment to existing patientts.QUALITIES OF CANDI...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Pre-Service Review Nurse RN to work remotely in the Pacific or Mountain Time Zones.Key Responsibilities Conduct utilization management, including Prior Authorization Re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
Canyon Ridge Hospital is currently seeking a compassionate and talented.At Canyon Ridge Hospital we understand that not all wounds are visible.
Depression, anxiety, trauma, PTSD, addiction, and suic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,.
UCI Health Community Network in Orange and Los Angeles count...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for an Appeals Nurse Consultant.Key Responsibilities Process medical necessity appeals for Medicare Part C from members and providers Collaborate with internal and external ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Non-Clinical Case Manager to provide patient support remotely during the hours of 11-8p EST, M-F.
Key Responsibilities Provide virtual support to patients, case managers...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Accredited Wound Care Certification.Must be willing to travel daily within assigned geographic areas.To be successful, our candidates will possess a strong degree of organization and prioritization...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Physician Assistant / Nurse Practitioner Join Our Growing Team.Physician Assistant or Nurse Practitioner.Competitive hourly rate ($70-$72) for new graduates, with higher rates available for experi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Now offering up to $20 dollars per hour! We offer Daily Pay for select positions.Addus HomeCare is hiring immediately for Home Care Aides.
This rewarding, entry-level position provides consistent, f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Reliance Hospice and Palliative Care is looking for self-driven, experienced and passionate.Hospice Clinical Liaison (LVN).
A Clinical Liaison's primary responsibility is to build and maintain r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
LocumJobsOnline is working with Opportunity Healthcare to find a qualified Family Practice NP in Humboldt County, California, 95549!.
FNP Family Nurse Practitioner job in Humboldt County, CA offeri...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,.
UCI Health Community Network in Orange and Los Angeles count...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Vivo HealthStaff is actively recruiting for a fully remote Case Manager position.This temporary 3-month contract role, with an option to extend, and focuses on health care management and coordinati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Physician Assistant / Nurse Practitioner – Join Our Growing Team.Physician Assistant or Nurse Practitioner.Competitive hourly rate ($70-$72) for new graduates, with higher rates available for...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
At Powerback, we're on a mission to improve lives.As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Green Meadows Hospice is looking for an experienced LVN Hospice Liaison.The Hospice Liaison serves as the connecting link between patients, families, and hospice care services, ensuring a smooth tr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Advanced Practice Provider Opportunity.Nurse Practitioner or Physician Assistant.Riverside, CA, APP to work in multiple clinic locations.
Hematology / Oncology experience as RN or APP preferred.Los An...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
A Costa Mesa, California based client is seeking a motivated and compassionate Physician Assistant or Nurse Practitioner to join an interdisciplinary team in Costa Mesa, at a community health cente...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Approximately 2-Months, possibley Longer.Under the direction of the Clinical Quality Improvement (CQI) Supervisor, the HEDIS Clinical Review, LVN provides support to the CQI Supervisor, HEDIS Nurse...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medical Case Manager
Rite of PassageCosta Mesa, CA , USAserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RDH
Staff Seekers, Inc.Irvine, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Review Nurse
VirtualVocationsFontana, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Treatment Plan Nurse
Universal Health Services, Inc.Chino, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Navigator - ACC - Breast Center - FT Days
University of California - Irvine HealthIrvine, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Appeals Nurse Consultant
VirtualVocationsOceanside, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Non-Clinical Case Manager
VirtualVocationsOrange, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
WOCN RN - Clinical Liaison
Salus Home Health - Orange CountyIrvine, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Advanced Practice Provider (Riverside)
LANI CITY MEDICALRiverside, CA, USserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
HCA
Addus HomecareUniversity, ID, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Clinical Liaison (LVN) - South Orange County
MCM & Associates LLCLake Forest, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $131,227 to $148,138 per year in Humboldt County, CA (Hiring Immediately)
LocumJobsOnlineCosta Mesa, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Navigator - Clinic - Surgery Ortho - FT Days
University of California - Irvine HealthOrange, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Remote Case Management RN - California License
Vivo HealthStaffSan Bernardino, CA, USserp_jobs.filters.remote
serp_jobs.job_card.permanent +1
- serp_jobs.job_card.promoted
Advanced Practice Provider
LANI CITY MEDICALRiverside, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
OT-Assistant
Powerback RehabilitationMurrieta, CA, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
LVN Hospice Liaison
One Stop Hospice IncSanta Ana, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Advanced Practice Provider
Los Angeles Cancer NetworkRiverside, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Advanced Practice Provider
Provider HealthcareCosta Mesa, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
LVN-HEDIS Clinical Review Nurse 25-00041
Alura Workforce SolutionsRancho Cucamonga, CA, United Statesserp_jobs.job_card.temporary