Talent.com
Maryland Licensed Clinical Appeals Nurse

Maryland Licensed Clinical Appeals Nurse

VirtualVocationsChula Vista, California, United States
job_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 • Chula Vista, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
LVN

LVN

Belmont Village Cardiff by the SeaCardiff, CA
serp_jobs.job_card.full_time
Belmont Village Cardiff by the Sea -.PRN - 6 : 30am-3 : 00pm, 2 : 30pm-11 : 00pm, 10 : 30pm-7 : 00am.Belmont Village, you will administer medications, support wellness initiatives, help ensure regulatory compl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $131,227 to $148,138 per year in Humboldt County, CA

Nurse Practitioner (NP) - Family Practice - $131,227 to $148,138 per year in Humboldt County, CA

LocumJobsOnlineSan Diego, US
serp_jobs.job_card.full_time
LocumJobsOnline is working with Opportunity Healthcare to find a qualified Family Practice NP in Humboldt County, California, 95549!. FNP Family Nurse Practitioner job in Humboldt County, CA — offer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Urgent Care in Butte County, CA

Nurse Practitioner (NP) - Urgent Care in Butte County, CA

LocumJobsNetworkSan Diego, US
serp_jobs.job_card.full_time
LocumJobsNetwork is working with Opportunity Healthcare to find a qualified Urgent Care NP in Butte County, California, 95965!. Urgent Care Nurse Practitioner job in Butte County, CA — offering up t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $145,000 to $170,000 per year in Chico, CA

Nurse Practitioner (NP) - Family Practice - $145,000 to $170,000 per year in Chico, CA

LocumJobsOnlineSan Diego, California, US
serp_jobs.job_card.full_time +1
LocumJobsOnline is working with CompHealth to find a qualified Family Practice NP in Chico, California, 96021!.Our client in Northern California is seeking an experienced Physician Assistant or Fa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Urgent Care - $116,000 to $135,000 per year in Paradise, CA

Nurse Practitioner (NP) - Urgent Care - $116,000 to $135,000 per year in Paradise, CA

LocumJobsOnlineSan Diego, California, US
serp_jobs.job_card.full_time +1
LocumJobsOnline is working with CompHealth to find a qualified Urgent Care NP in Paradise, California, 95969!.Exciting opportunity near Chico, California for a dynamic Urgent Care PA / NP.Emergency / u...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $130,000 to $175,000 per year in Stockton, CA

Nurse Practitioner (NP) - Family Practice - $130,000 to $175,000 per year in Stockton, CA

LocumJobsOnlineSan Diego, California, US
serp_jobs.job_card.full_time +1
LocumJobsOnline is working with CompHealth to find a qualified Family Practice NP in Stockton, California, 95210!.Our client is seeking a Family nurse practitioner for a full time permanent primary...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $131,227 to $148,138 per year in Humboldt County, CA

Nurse Practitioner (NP) - Family Practice - $131,227 to $148,138 per year in Humboldt County, CA

LocumJobsNetworkSan Diego, US
serp_jobs.job_card.full_time
LocumJobsNetwork is working with Opportunity Healthcare to find a qualified Family Practice NP in Humboldt County, California, 95549!. FNP Family Nurse Practitioner job in Humboldt County, CA — offe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $141,273 to $190,715 per year in Chico, CA

Nurse Practitioner (NP) - Family Practice - $141,273 to $190,715 per year in Chico, CA

LocumJobsOnlineSan Diego, California, US
serp_jobs.job_card.full_time
LocumJobsOnline is working with CompHealth to find a qualified Family Practice NP in Chico, California, 95926!.Pediatric Nurse Practitioner needed for this NICU in Northern California! Perm, full t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $131,040 to $170,352 per year in Sacramento, CA

Nurse Practitioner (NP) - Family Practice - $131,040 to $170,352 per year in Sacramento, CA

LocumJobsOnlineSan Diego, California, US
serp_jobs.job_card.full_time
LocumJobsOnline is working with CompHealth to find a qualified Family Practice NP in Sacramento, California, 95825!.CompHealth is seeking a Nurse Practitioner for a street medicine NP opening at a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $135,000 per year in Riverside County, CA

Nurse Practitioner (NP) - Family Practice - $135,000 per year in Riverside County, CA

LocumJobsNetworkSan Diego, US
serp_jobs.job_card.full_time +1
LocumJobsNetwork 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 — of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $135,000 to $150,000 per year in Eureka, CA

Nurse Practitioner (NP) - Family Practice - $135,000 to $150,000 per year in Eureka, CA

LocumJobsOnlineSan Diego, California, US
serp_jobs.job_card.full_time +1
LocumJobsOnline is working with CompHealth to find a qualified Family Practice NP in Eureka, California, 95521!.Excellent opportunity for an experienced Rural Health Physician Assistant or Nurse Pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Urgent Care in Butte County, CA

Nurse Practitioner (NP) - Urgent Care in Butte County, CA

LocumJobsOnlineSan Diego, California, US
serp_jobs.job_card.full_time +1
LocumJobsOnline is working with Opportunity Healthcare to find a qualified Urgent Care NP in Butte County, California, 95965!. Urgent Care Nurse Practitioner job in Butte County, CA — offering up to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Urgent Care - $85 to $95 per hour in Bakersfield, CA

Nurse Practitioner (NP) - Urgent Care - $85 to $95 per hour in Bakersfield, CA

LocumJobsOnlineSan Diego, California, US
serp_jobs.job_card.full_time
LocumJobsOnline is working with Curative to find a qualified Urgent Care NP in Bakersfield, California, 93301!.Please consider this unique opportunity to join a well-established and respected multi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Psychiatric Technician - Statewide in CA

Psychiatric Technician - Statewide in CA

California Department of Corrections and RehabilitationCoronado, California, US
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Nurse Practitioner - Correctional Urgent Care

Nurse Practitioner - Correctional Urgent Care

CoreCivicSan Diego, CA, US
serp_jobs.job_card.full_time
CoreCivic is seeking a Nurse Practitioner Correctional Urgent Care for a job in San Diego, California.Job Description & Requirements. At Corecivic, we do more than manage inmates, we care for pe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $80 to $100 per hour in Sacramento, CA

Nurse Practitioner (NP) - Family Practice - $80 to $100 per hour in Sacramento, CA

LocumJobsOnlineSan Diego, California, US
serp_jobs.job_card.full_time +2
LocumJobsOnline is working with CompHealth to find a qualified Family Practice NP in Sacramento, California, 95833!.A very well-known Heart and Vascular Program in Northern California is seeking a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $145,600 to $176,800 per year in Seaside, CA

Nurse Practitioner (NP) - Family Practice - $145,600 to $176,800 per year in Seaside, CA

LocumJobsOnlineSan Diego, California, US
serp_jobs.job_card.full_time +1
LocumJobsOnline is working with CompHealth to find a qualified Family Practice NP in Seaside, California, 93955!.Exciting opportunity for an experienced Nurse Practitioner / Physician Assistant to jo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Social Worker

Clinical Social Worker

California Department of Corrections and RehabilitationPINE VALLEY, California, US
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $135,826 to $176,574 per year in Apple Valley, CA

Nurse Practitioner (NP) - Family Practice - $135,826 to $176,574 per year in Apple Valley, CA

LocumJobsOnlineSan Diego, California, US
serp_jobs.job_card.full_time +1
LocumJobsOnline is working with CompHealth to find a qualified Family Practice NP in Apple Valley, California, 92307!.Exciting opportunity for an experienced FNP in San Bernardino County.Must be ab...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Family Practice - $135,000 per year in Riverside County, CA

Nurse Practitioner (NP) - Family Practice - $135,000 per year in Riverside County, CA

LocumJobsOnlineSan Diego, California, US
serp_jobs.job_card.full_time +1
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 — off...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30