Virginia Licensed RN Clinical Appeals
VirtualVocationsFresno, 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 • Fresno, California, United States
Job_description.internal_linking.related_jobs
Psychiatric Technician (Safety) Job Description and Duties The Psychiatric Technician (Safety) will be directed by the Unit Supervisor, RN Shift Lead, Senior Psychiatric Technician, or Health Servi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Position : Clinical Social Worker Increased Salaries are Just the Beginning… The past few years have seen dramatic shifts in the health care landscape.
California Correctional Health Care Services (C...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 
Facility is located in Adelanto CA.Are you looking for a career you can feel good about? We hire only those that strive to do their best.
By joining our family, you'll receive the honor and recognit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Recognizing the need for top quality physicians, TPMG is currently seeking excellent full time, BC / BE.H1B opportunities may be available based on geographic preference.
Full-time annual salary range...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Psychiatric Technician - Statewide in CA Position : Psychiatric Technician Location : Statewide - Multiple Locations Throughout California Annual Salary Range : $71,460 - $105,084 California Correctio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
SUMMARY : The Registered Nurse (RN) is accountable for providing competent nursing care.Responsible for coordination of the patient's plan of care through assessment, planning, implementation, and e...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
We are currently seeking a skilled and compassionate Family Medicine Physician to join our dynamic team in Reedley, CA.The ideal candidate will have a strong background in family medicine, a commit...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 
LocumJobsOnline is working with Opportunity Healthcare to find a qualified Family Practice NP in Riverside County, California, 92239!.
FNP Family Nurse Practitioner job in Riverside County, CA offe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Field Case Manager (RN) – Full-Time, Permanent.Join a dynamic and growing Case Management company that empowers Registered Nurses with greater autonomy over their caseloads—while still offering the...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 JOB SUMMARY : This position is accountable for providing competent nursing care.Responsible for coordination of the patient's plan of care through assessment, planning, implementation and eval...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 Riverside County, California, 92239!.
FNP Family Nurse Practitioner job in Riverside County, CA offe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 
We are currently seeking a skilled and compassionate Family Medicine Physician to join our dynamic team in Reedley, CA.The ideal candidate will have a strong background in family medicine, a commit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 We are currently seeking a skilled and compassionate Family Medicine Physician to join our dynamic team in Hanford, CA.The ideal candidate will have a strong background in family medicine, a commit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 We are currently seeking a skilled and compassionate Family Medicine Physician to join our dynamic team in Hanford, CA.The ideal candidate will have a strong background in family medicine, a commit...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 Madera County, California!.
FNP Family Nurse Practitioner job in Madera County, CA offering up to $1...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
The Nurse Practitioner isan Advanced Practice Practitioner who is accountable for a "defined"patient population.This posted position isspecific to the Vonda Lee Cell Therapy Program and w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Saint Agnes Medical Providers (SAMP) and Saint Agnes Medical Center (SAMC) have an excellent.Nurse Practitioner or Physician Assistant.
Orthopedic Surgery team located in Fresno, California.The sele...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
Psychiatric Technician (Safety)
California Department of Corrections and RehabilitationRiverdale, California, USserp_jobs.job_card.permanent
- serp_jobs.job_card.promoted
Clinical Social Worker
California Department of Corrections and RehabilitationRIVERDALE, California, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Appeals Nurse Consultant
VirtualVocationsVisalia, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Advanced Practice Provider
The GEO Group, Inc.Fresno, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Hospitalist Opportunity in Fresno | Central Valley California
The Permanente Medical Group, Inc. - N.CaliforniaFresno, Clovis, Selma, Oakhurst, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Psychiatric Technician - Statewide in CA
California Department of Corrections and RehabilitationHanford, California, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Rehab RN
Valley Children's HealthcareMadera, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Family Medicine Reedley Jefferson with Medical Directorship
Adventist HealthHanford, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Non-Clinical Case Manager
VirtualVocationsVisalia, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $145,000 to $156,000 per year in Riverside County, CA (Hiring Immediately)
LocumJobsOnlineIvesta, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Field Case Manager (RN)
Pivotal Placement ServicesFresno, CA, USserp_jobs.job_card.full_time +1
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Emergency RN
Valley Children's HealthcareMadera, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $135,000 per year in Riverside County, CA (Hiring Immediately)
LocumJobsOnlineIvesta, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
California Licensed Review Nurse
VirtualVocationsVisalia, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Family Medicine Reedley Jefferson with Medical Directorship
HealthEcareers - ClientHanford, CA, USAserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Family Medicine Lacey Medical Plaza Suite 202 Hanford
HealthEcareers - ClientHanford, CA, USAserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Family Medicine Lacey Medical Plaza Suite 202 Hanford
Adventist HealthHanford, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $120,000 to $135,000 per year in Madera County, CA (Hiring Immediately)
LocumJobsOnlineMadera, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Nurse Practitioner - Cell Therapy Clinical
AMN HealthcareMadera, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Advanced Practice Provider - Orthopedic Surgery
Saint Agnes Medical CenterFresno, CA, United Statesserp_jobs.job_card.full_time +1