California Licensed Clinical Appeals RN
VirtualVocationsNew York, New York, 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 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 • New York, New York, United States
Job_description.internal_linking.related_jobs
TravelNurseSource is working with LRS Healthcare to find a qualified Other RN in New Brunswick, New Jersey, 08901!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day TravelNurseSource is working with Patterns LLC to find a qualified Case Manager RN in White Plains, New York, 10601!.The RN Care Manager performs the initial comprehensive assessment on admission i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 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 
Location : Main Hospital - New Brunswick.Department Name : Emergency Department.The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.The compensation ...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 
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 TravelNurseSource is working with Specialty Professional Services to find a qualified Labor / Delivery RN in White Plains, New York, 10601!.
Our Client is currently seeking L&D for positions in Wh...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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_1_day A company is looking for a Concurrent Review Nurse (RN) (Temporary).Key Responsibilities Performs concurrent, post-service, and retrospective reviews of acute in-patient care services using estab...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 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 service...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Clinical Assessor, Mid - RN - Full-time (Remote U.Key Responsibilities Conduct assessments for Medicaid Waiver eligibility using state-approved tools Ensure privacy an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours TravelNurseSource is working with Fusion Medical Staffing to find a qualified Pediatrics RN in New Brunswick, New Jersey, 08901!.
Facility in New Brunswick, New Jersey.Fusion Medical Staffing is see...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Rang Healthcare is seeking a local contract nurse RN Clinic Long Term Care for a local contract nursing job in Rye, New York.
Job Description & Requirements.RN candidates must have 2 years of recent...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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_day 
Location : Monmouth Medical Center.Department Name : Med Surg Unit l.The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.
The compensation offered to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Job Title : Asst Director Patient Care.Department : Renal Transplant Unit.The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.The compensation offe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 TravelNurseSource is working with Atlas MedStaff to find a qualified Pediatrics RN in New Brunswick, New Jersey, 08901!.Atlas Medstaff is currently seeking candidates in the RN (Peds) profession fo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours TravelNurseSource is working with Prime Time Healthcare to find a qualified Case Manager RN in White Plains, New York, 10604!.
Now Hiring : RN Case Manager - White Plains, NY.Contact us for Pay Infor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Clinical Coordinator (RN).Key Responsibilities Support quality patient care by collaborating with the Care Team and Director of Nursing Handle clinical inquiries from ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 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_variable_days
- serp_jobs.job_card.promoted
Travel Nurse RN - $2,045 to $2,267 per week in New Brunswick, NJ
TravelNurseSourceNew Brunswick, NJ, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Case Manager in White Plains, NY
TravelNurseSourceWhite Plains, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Nurse RN
VirtualVocationsNew York, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN
RWJ New BrunswickNew Brunswick, NJ, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Florida Licensed Clinical Therapist
VirtualVocationsPaterson, New Jersey, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Licensed Therapist (LCSW, LMHC, LMFT) - New Rochelle, NY
LifeStance HealthNew Rochelle, NY, USserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Labor / Delivery - $2,250 to $2,487 per week in White Plains, NY
TravelNurseSourceWhite Plains, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Regulatory Affairs Lead
VirtualVocationsBrooklyn, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Concurrent Review Nurse
VirtualVocationsNewark, New Jersey, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Clinical Appeals RN
VirtualVocationsElizabeth, New Jersey, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
South Carolina Licensed Clinical Assessor
VirtualVocationsStaten Island, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Travel Nurse RN - Pediatrics - $1,992 to $2,119 per week in New Brunswick, NJ
TravelNurseSourceNew Brunswick, NJ, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Local Contract Nurse RN - Clinic Long Term Care - $42-46 per hour
Rang HealthcareRye, NY, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
California Licensed Nurse Reviewer
VirtualVocationsPaterson, New Jersey, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN
Monmouth Medical CenterLong Branch, NJ, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Asst Director Patient Care
RWJ New BrunswickNew Brunswick, NJ, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Travel Nurse RN - Pediatrics - $1,964 per week in New Brunswick, NJ
TravelNurseSourceNew Brunswick, NJ, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Case Manager - $2,392 to $2,673 per week in White Plains, NY
TravelNurseSourceWhite Plains, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Clinical Coordinator
VirtualVocationsElizabeth, New Jersey, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Maryland Licensed Clinical Appeals RN
VirtualVocationsStaten Island, New York, United Statesserp_jobs.job_card.full_time