Appeals and Grievances Clinical Specialist - RN or LPN
A company is looking for an Appeals and Grievances Clinical Specialist - RN or LPN, 100% Remote.Key ResponsibilitiesManage clinical case development and resolution for member and provider complaintsPrepare cases for Medical Director Review and external appeals processesEnsure compliance with Federal and State regulations while managing caseloadsRequired QualificationsMust be an RN, LPN, or Dental HygienistBachelor's degree preferredExperience in clinical practice, appeals & grievances, or utilization managementUnderstanding of Utilization Review Guidelines and related regulationsAbility to work with care management systems and multiple computer applications
Appeals and Grievances Clinical Specialist - RN or LPN
A company is looking for an Appeals and Grievances Clinical Specialist - RN or LPN, 100% Remote. ...
Travel Nurse RN - Clinical Document Improvement Specialist - $2,360 per week
Computer skills essential The RN Care Manager performs the initial comprehensive assessment on admission in accordance with the Care Management Department policy, screening all patients by utilizing established tools for high risk indicators to ensure high risk patient populations receive the approp...
Marketing & Business Development Sr. Coordinator or Specialist
The Marketing and Business Development Senior Coordinator or Specialist reports to and works closely with the Sr. Researches and identifies sponsorship opportunities and manages relationships and logistics associated with conferences and sponsorships. Coordinates and drafts submissions for practice-...
Registered Nurse or LPN - Wall Street
Each ENT and Allergy Associates clinical location provides access to a full complement of services, including General Adult and Pediatric ENT, Voice and Swallowing, Facial Plastics and Reconstructive Surgery, Disorders of the Inner Ear and Dizziness, Asthma, Clinical Immunology, Diagnostic Audiology...
Travel Nurse RN - Clinical Document Improvement Specialist - $2,981 per week
RT for DC Planning?: N/A - Pharmacy for DC Planning?: Physicians responsible for Med Rec and sending orders to pharmacy - Department Specific Orientation: 2 days of Hospital Orientation- will include EMR training; 1-2 wks with a preceptor depending on how fast they can be checked off. Tact Staff...
Staff Nurses (RN's & LPN's)
Must have New York LPN or RN license. Must have prior experience as an LPN or RN. Prepare and administer injections and/or enemas. Collect samples and monitor catheters. ...
VIRTUAL JOB FAIR for CNA, LPN, and RN Positions!
Certified Nurse Aides, Licensed Practical Nurses, Registered Nurses.Apply today to confirm attendance with out recruitment team!.Job Types: Full-time, Part-time.Job Types: Full-time, Part-time, Per diem....
Grievance & Appeals Specialist - Remote
They will process appeals and grievances to facilitate the accurate administration of benefits and clinical policy; and ensure compliance of the appeal and grievance process with all regulatory requirements and NCQA standards. We are seeking a talented Grievance & Appeals Specialist who will be resp...
Intake LPN
Administer and document medication under a physician’s order and follow the five (5) medication rights and reduce the potential for medical error. Record patient information such as vital signs, weight and changes in medical history. Assist in maintaining the medical inventory and placing orde...
Backup & Recovery Manager / Specialist - (HIPAA or ISO 27001, ISO 22301, ISO 27031, IT Infrastructure, Cloud Platform, etc.)
Assist in the development of data recovery for disaster recovery plans, including strategies, procedures, and documentation for emergency response, data backup and restoration, system recovery, and infrastructure continuity. Collaborate with IT teams to assess and enhance system recoverability, supp...