Maryland Licensed Clinical Appeals Nurse
VirtualVocationsHumble, Texas, United Statesjob_description.job_card.1_day_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 Nurse (Remote).
Key Responsibilities
Investigates and analyzes written appeals and reconsideration requests, responding with detailed letters while adhering to corporate policies and regulations
Organizes appeal cases for physician review, compiling relevant information and communicating final decisions to members and providers
Utilizes nursing expertise to prioritize and assess appeal requests related to medical and behavioral health conditions, collaborating with external review organizations as necessary
Required Qualifications
High School Diploma or GED
Registered Nurse (RN) State Licensure required upon hire
2 years of medical-surgical or similar clinical experience, or 3 years in a mental health setting
Certified Case Manager (CCM) and / or Legal Nurse Consultant Certified (LNCC) preferred upon hire
Preferred BSN or MSN degree
serp_jobs.job_alerts.create_a_job
Licensed Clinical • Humble, Texas, United States
Job_description.internal_linking.related_jobs
TRS Healthcare is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Conroe, TX.Shift : 3x12 hr days Start Date : ASAP Duration : 13 weeks Pay : $1462.TRS Health...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a RN Clinical Nurse II - Nurse Connect.Key Responsibilities Participates in patient education and assesses readiness to learn Evaluates patient care outcomes and communi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a HSPC Clinical Resource Nurse.Key Responsibilities Ensures appropriate clinical pathways are assigned on the plan of care Completes daily oversight of the Muse system f...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 Conroe, TX.
Shift : 3x12 hr days Start Date : ASAP Duration : 13 weeks Pay : $1440.Coa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Trustaff is seeking a travel nurse RN Case Management for a travel nursing job in Conroe, Texas.Job Description & Requirements.
As a Case Management RN, you'll develop, implement, and evalua...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Atlas MedStaff is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Conroe, TX.Shift : 3x12 hr days Start Date : 11 / 03 / 2025 Duration : 13 weeks Pay : $1301.Atla...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
American Medical Staffing is seeking a travel nurse RN Case Manager, Rehabilitation for a travel nursing job in Conroe, Texas.
Job Description & Requirements.We’re living in the new normal...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day TRS Healthcare is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Conroe, TX.Shift : 3x12 hr days Start Date : ASAP Duration : 13 weeks Pay : $1462.TRS Health...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days )
Memorial Hermann Surgery Center – Woodlands Parkway, in partnership with United Surgical Partners International (USPI), is a state-of-the-art ambulatory surgery center committed to providing except...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Director of Utilization Management.Key Responsibilities Develop and implement strategic plans for Utilization Management aligned with organizational goals Direct all U...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Cynet Health is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Conroe, TX.Shift : 3x12 hr days Start Date : ASAP Duration : 13 weeks Pay : $1494 / Week.Ranke...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
KPG Healthcare Nursing is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Conroe, TX.
Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $1382 / Week....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Host Healthcare is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Conroe, TX.
Shift : 12 hr days Start Date : ASAP Duration : 13 weeks Pay : $1437.At Host Hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medpro Healthcare Staffing is seeking an experienced Cardiovascular Operating Room Registered Nurse for an exciting Travel Nursing job in Tomball, TX.
Shift : 4x10 hr days Start Date : 11 / 03 / 2025 Dura...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Atlas MedStaff is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Conroe, TX.Shift : 3x12 hr days Start Date : 11 / 03 / 2025 Duration : 13 weeks Pay : $1301.Atla...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Coast Medical Service is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Conroe, TX.
Shift : 3x12 hr days Start Date : ASAP Duration : 13 weeks Pay : $1440.Coa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Host Healthcare is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Conroe, TX.
Shift : 12 hr days Start Date : ASAP Duration : 13 weeks Pay : $1437.At Host Hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 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_moreserp_jobs.last_updated.last_updated_1_day 
Lifeline Medical Staffing is seeking a travel nurse RN Case Manager, Rehabilitation for a travel nursing job in Conroe, Texas.
Job Description & Requirements.Lifeline Medical Staffing Job ID #73...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $1462.68 / Week
TRS HealthcareConroe, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
North Carolina Licensed Clinical Nurse
VirtualVocationsHouston, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
North Carolina Licensed Clinical Resource Nurse
VirtualVocationsHumble, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $1440.5 / Week - Hiring Now
Coast Medical ServiceConroe, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Case Management
TrustaffConroe, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $1301.58 / Week
Atlas MedStaffConroe, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Inpatient Rehab Case Management RN
American Medical StaffingConroe, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Clinical Appeals Specialist
VirtualVocationsHouston, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $1462.68 / Week - Hiring Now
TRS HealthcareConroe, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Director
Memorial Hermann Surgery Center, Woodlands Parkway (11030)THE WOODLANDS, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Texas Licensed Clinical Nurse Director
VirtualVocationsHumble, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $1494 / Week - Hiring Now
Cynet HealthConroe, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $1382 / Week - Hiring Now
KPG Healthcare NursingConroe, TX, USserp_jobs.job_card.permanent +1
- serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $1437.15 / Week - Hiring Now
Host HealthcareConroe, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - CVOR - Cardiovascular Operating Room - $2229 / Week - Hiring Now
Medpro Healthcare StaffingTomball, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $1301.58 / Week - Hiring Now
Atlas MedStaffConroe, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $1440.5 / Week
Coast Medical ServiceConroe, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $1437.15 / Week
Host HealthcareConroe, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Maryland Licensed Clinical Appeals Nurse
VirtualVocationsPasadena, Texas, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Inpatient Rehab Case Management RN
Lifeline Medical StaffingConroe, TX, USserp_jobs.job_card.full_time