Talent.com
RN Clinical Appeals Specialist
RN Clinical Appeals SpecialistVirtualVocations • Escondido, California, United States
serp_jobs.error_messages.no_longer_accepting
RN Clinical Appeals Specialist

RN Clinical Appeals Specialist

VirtualVocations • Escondido, California, United States
job_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 - Remote.

Key Responsibilities

Perform initial assessments of appeals, medical records, and compliance with coverage criteria

Identify additional information needed to process appeals and adapt to changes in appeal types

Utilize clinical judgment and critical thinking to make decisions on administrative nurse level cases

Required Qualifications

Current, valid, and unrestricted RN licensure in the state of residence

2+ years of clinical experience in acute care or outpatient settings

1+ years of experience in Utilization Review or Medicaid / Medicare appeals

Understanding of billable services and claims in a managed care environment

Access to high-speed internet and ability to work 8-5 within the EST time zone

serp_jobs.job_alerts.create_a_job

Clinical Specialist • Escondido, California, United States

Job_description.internal_linking.related_jobs
Travel Nurse RN - Case Manager - $2,297 per week in Oakland, CA

Travel Nurse RN - Case Manager - $2,297 per week in Oakland, CA

TravelNurseSource • San Diego, California, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Coast Medical Service to find a qualified Case Manager RN in Oakland, California, 94609!. Coast Medical Service is a nationwide travel nursing & allied healthca...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Travel Nurse RN - Case Manager - $2,349 per week in Mission Viejo, CA

Travel Nurse RN - Case Manager - $2,349 per week in Mission Viejo, CA

TravelNurseSource • San Diego, California, US
serp_jobs.job_card.full_time +1
TravelNurseSource is working with Nationwide Therapy Group to find a qualified Case Manager RN in Mission Viejo, California, 92691!. NTG is committed to matching you to the right position and we pri...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse - RN - ER - Emergency Room - $2831.89 / Week - Hiring Now

Travel Nurse - RN - ER - Emergency Room - $2831.89 / Week - Hiring Now

Medical Solutions • Escondido, CA, US
serp_jobs.job_card.full_time
Medical Solutions is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Escondido, CA. Shift : 2x12 hr nights Start Date : 11 / 17 / 2025 Duration : 13 weeks Pay : ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $3059 / Week - Hiring Now

Travel Nurse - RN - Case Manager - $3059 / Week - Hiring Now

KPG Healthcare Nursing • Encinitas, CA, US
serp_jobs.job_card.permanent +1
KPG Healthcare Nursing is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in San Diego, CA. Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $3059 / We...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Case Manager - $2,422 to $2,685 per week in Oakland, CA

Travel Nurse RN - Case Manager - $2,422 to $2,685 per week in Oakland, CA

TravelNurseSource • San Diego, California, US
serp_jobs.job_card.full_time
TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in Oakland, California, 94609!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Case Manager - $2,450 to $2,717 per week in Palo Alto, CA

Travel Nurse RN - Case Manager - $2,450 to $2,717 per week in Palo Alto, CA

TravelNurseSource • San Diego, California, US
serp_jobs.job_card.full_time
TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in Palo Alto, California, 94304!.Ready to start your next travel adventure? LRS Healthcare offers a full benefit...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $3295 / Week - Hiring Now

Travel Nurse - RN - Case Manager - $3295 / Week - Hiring Now

Coast Medical Service • Encinitas, CA, US
serp_jobs.job_card.full_time
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 / 27 / 2025 Duration : 13 weeks Pay : $...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Case Manager - $3,100 to $3,279 per week in Oakland, CA

Travel Nurse RN - Case Manager - $3,100 to $3,279 per week in Oakland, CA

TravelNurseSource • San Diego, California, US
serp_jobs.job_card.full_time +1
TravelNurseSource is working with Lancesoft Inc to find a qualified Case Manager RN in Oakland, California, 94609!.Facility : Sutter Health Alta Bates Summit Medical Center Hawthorne.Shift : Day 5x8...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Clinical Application Specialist

Clinical Application Specialist

VirtualVocations • Oceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Application Specialist to oversee statistical programming activities and ensure the accuracy of clinical data sets. Key Responsibilities Lead statistical progra...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Case Manager - $3,300 per week in Oakland, CA

Travel Nurse RN - Case Manager - $3,300 per week in Oakland, CA

TravelNurseSource • San Diego, California, US
serp_jobs.job_card.full_time +1
TravelNurseSource is working with Lancesoft Inc to find a qualified Case Manager RN in Oakland, California, 94609!.Experience : 5+ Years of RN Case Management experience.Medical & Health Insuran...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Case Manager - $3,095 per week in Novato, CA

Travel Nurse RN - Case Manager - $3,095 per week in Novato, CA

TravelNurseSource • San Diego, California, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Coast Medical Service to find a qualified Case Manager RN in Novato, California, 94945!. Coast Medical Service is a nationwide travel nursing & allied healthcar...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN Clinical Documentation Consultant

RN Clinical Documentation Consultant

VirtualVocations • Chula Vista, California, United States
serp_jobs.job_card.full_time
A company is looking for a CDI Consultant to support clinical documentation improvement in a remote capacity.Key Responsibilities Review and evaluate medical record documentation for completeness...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Tennessee Licensed Clinical Review Manager

Tennessee Licensed Clinical Review Manager

VirtualVocations • Escondido, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Manager to oversee medical reviews for utilization management.Key Responsibilities Initiate referrals for appropriate coordination of care Assist in co...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Senior Clinical Appeals RN

State Licensed Senior Clinical Appeals RN

VirtualVocations • Oceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Clinical Appeals RN.Key Responsibilities Analyze and respond to DRG appeals, including complex conceptual analyses Review medical records and collaborate with a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Travel Nurse - RN - Outpatient Clinic - $2776 / Week - Hiring Now

Travel Nurse - RN - Outpatient Clinic - $2776 / Week - Hiring Now

Stability Healthcare • Santee, CA, US
serp_jobs.job_card.full_time
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_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Nurse RN - Case Manager - $2,481 to $2,681 per week in Salinas, CA

Travel Nurse RN - Case Manager - $2,481 to $2,681 per week in Salinas, CA

TravelNurseSource • San Diego, California, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Ventura MedStaff to find a qualified Case Manager RN in Salinas, California, 93906!.Are you ready to take your Travel career to the next level? See places you hav...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Case Manager - $2,343 per week in Oakland, CA

Travel Nurse RN - Case Manager - $2,343 per week in Oakland, CA

TravelNurseSource • San Diego, California, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Cynet Health to find a qualified Case Manager RN in Oakland, California, 94609!.Job Title : RN Case Manager Profession : Registered Nurse Specialty : Case Manager...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Behavioral Health Appeals Clinician

Behavioral Health Appeals Clinician

VirtualVocations • El Cajon, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Clinician Appeals - Behavioral Health.Key Responsibilities Performs clinical reviews to resolve and process appeals by analyzing medical records and cli...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Case Manager - $2,096 to $2,420 per week in Mission Viejo, CA

Travel Nurse RN - Case Manager - $2,096 to $2,420 per week in Mission Viejo, CA

TravelNurseSource • San Diego, California, US
serp_jobs.job_card.full_time
TravelNurseSource is working with National Staffing Solutions to find a qualified Case Manager RN in Mission Viejo, California, 92691!. Details of the RN - Case Management (CCM) opening in Mission V...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Maryland Licensed Clinical Appeals Nurse

Maryland Licensed Clinical Appeals Nurse

VirtualVocations • Oceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals Nurse (Remote).Key Responsibilities Investigates and analyzes written appeals and reconsideration requests, responding with detailed letters while adhe...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted