Maryland Licensed Clinical Appeals Nurse
VirtualVocationsIrving, Texas, United Statesjob_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 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 • Irving, Texas, United States
Job_description.internal_linking.related_jobs
LocumJobsOnline is working with CompHealth to find a qualified Family Practice NP in Houston, Texas, 77030!.Level 1 Trauma Center has an immediate opening for a Cardiac / Heart Failure NP for night s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
As a Family Nurse Practitioner, the work you'll do on the U.Army health care team is not only an essential service, but also life changing.
Its a career that will make a difference in our Soldiers l...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
At Care Options for Kids, a pediatric home health care company providing one-on-one care in the home, we do things a little differently.
There's no revolving door of patients or hospital setting cha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
If you got into healthcare to make a difference, you're in the right place.We're looking for a values-driven, mission-focused, dynamic.
Care Navigator (Virtual Dementia Care - Texas).Someone...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 LocumJobsOnline is working with Opportunity Healthcare to find a qualified Family Practice NP in Tom Green County, Texas!.
FNP Family Nurse Practitioner job in Tom Green County, TX — offering up to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
LocumJobsNetwork is working with Opportunity Healthcare to find a qualified Urgent Care NP in Tom Green County, Texas!.Urgent Care Nurse Practitioner job in Tom Green County, TX — offering up to $1...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities.Baylor Scott and White is the largest not-for-profit healthcare system in Texas that ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
CAN Community Health is the nation's premier resource in ending epidemics with a mission of empowering wellness, has an exciting opportunity for a Medical Case Manager.
We are looking for someone wh...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
LVN Liaison To Work UTSW Hospital System.Are you looking to step away from hands on patient care and move into a role that will assist the UTSW patients in their transistion home? •Background in he...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Join a Company That Puts People First!.Licensed Practical / Vocational Nurse – LPN / LVN.Schedule : Monday, Tuesday, Saturday 7am-7pm.
We are one of the largest private duty nursing companies in the na...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days LocumJobsNetwork is working with Opportunity Healthcare to find a qualified Family Practice NP in Tom Green County, Texas!.
FNP Family Nurse Practitioner job in Tom Green County, TX — offering up to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 LocumJobsOnline is working with CompHealth to find a qualified Family Practice NP in San Antonio, Texas, 78207!.A growing Community Health Center in Texas seeks an experienced Family Nurse Practiti...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Texas Health Physicians Group is pleased to announce a.Providers and staff work very closely together to integrate all aspects of general family medicine and provide the highest quality medical ser...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 LocumJobsOnline is working with Opportunity Healthcare to find a qualified Urgent Care NP in Tom Green County, Texas!.Urgent Care Nurse Practitioner job in Tom Green County, TX — offering up to $13...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Join a Company That Puts People First!.Licensed Practical / Vocational Nurse LPN / LVN.Schedule : Monday, Tuesday, Saturday 7am-7pm.
We are one of the largest private duty nursing companies in the nati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career.
Challenging Work Feel inspired with great case di...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days LocumJobsOnline is working with Curative to find a qualified Urgent Care NP in Odessa, Texas, 79761!.Urgent Care Nurse Practitioner Opportunity in Odessa, Texas.
Step into a high-need community with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice in Houston, TX
LocumJobsOnlineDallas, Texas, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
FAMILY NURSE PRACTITIONER...
U.S. Army 5th Medical Recruiting BattalionDallas, Texas, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Children's Home Health LVN Specialist (ARLINGTON)
Care Options for KidsARLINGTON, Texas, USserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Care Navigator (Virtual Healthcare)
Rippl CareDallas, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Advanced Practice Provider - Neonatal : PRN
Parkland Health and Hospital SystemDallas, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $120,000 to $125,000 per year in Tom Green County, TX
LocumJobsOnlineDallas, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Urgent Care - $130,000 to $135,000 per year in Tom Green County, TX
LocumJobsNetworkDallas, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Pain Management Center PRN
Baylor Scott & White HealthIrving, TX, USserp_jobs.job_card.full_time
Medical Case Manager I (Bilingual preferred)
CAN Community HealthArlington, Texas, United States, 76015serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Respiratory Care Practitioner Nights
Parkland Health and Hospital SystemDallas, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
LVN Clinical Liaison
Choice Health At HomeRichardson, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
In home Healthcare LVN - School case - Low Acuity
Aveanna HealthcareCleburne, TX, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $120,000 to $125,000 per year in Tom Green County, TX
LocumJobsNetworkDallas, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice in San Antonio, TX
LocumJobsOnlineDallas, Texas, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Family Nurse Practitioner
Texas Health Physicians GroupFort Worth, Texas, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Urgent Care - $130,000 to $135,000 per year in Tom Green County, TX
LocumJobsOnlineDallas, Texas, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Advanced Practice Provider - Neonatal : PRN (Hiring Immediately)
Parkland Health and Hospital SystemDallas, TX, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
In home Healthcare LVN - School case - Low Acuity (Cleburne)
Aveanna Healthcare LLCCleburne, TX, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Medical HPSP
United States ArmyKeller, TX, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Urgent Care - $115,000 to $200,000 per year in Odessa, TX
LocumJobsOnlineDallas, Texas, USserp_jobs.job_card.full_time +1