A company is looking for a Clinical Appeals Specialist RN (Remote).Key ResponsibilitiesCoordinate the Medicaid and Non-Medicaid denial and appeals processesPrepare clinical documentation and represent the organization in mediation and appeals hearingsMaintain accurate records and assist in data collection and reporting related to appealsRequired Qualifications, Training, and EducationBachelor's degree in Nursing with active RN licensure in North CarolinaTwo years of post-degree professional experienceKnowledge of integrated health and managed care preferredExperience in utilization management and claims processing conceptsProficiency in Microsoft Office Suite and relevant reporting systems
Clinical Appeals Specialist RN
A company is looking for a Clinical Appeals Specialist RN (Remote). ...
Clinical Specialist- RN, Northern California (Field)
The Clinical Specialist is a resource for the execution of the Medication Delivery Solutions value-added clinical business strategy. As directed by the Clinical Manager, the Clinical Specialist role will be focused on, but not exclusively limited to, the activities outlined below: . Trains and mento...
RN Clinical Documentation Specialist
A company is looking for a RN-Clinical Documentation Specialist, Level 2 Reviewer. ...
Clinical Specialist, Wound Care Supplies RN / LPN
Asure Wound Solutions is seeking a highly skilled and dedicated Clinical Specialist, Wound Care Supplies to join our team. Asure Wound Solutions offers a competitive salary and benefits package for our Clinical Specialists, Wound Care Supplies. Provide clinical expertise and support to nursing homes...
Clinical Appeals Specialist
A company is looking for a Clinical Appeals Specialist to support their product launch in the Appeal Writing space. ...
Interim Resident Care Director - Weekly Pay: $2,000 - $2400 *The above pay package is an estimate, please contact our team to put together your personalized pay package, as a variety of factors can influence your total pay.* Are you a passionate Director of Nursing looking to join a leadership team that operates with integrity? Would you like to join an organization that utilizes strengths and promotes from within? If you answered “yes” to these questions, please read on. We may have the perfect opportunity for you. The DON is responsible for oversight of the daily clinical and administrative operations of the nursing department to assure that each resident receives the highest quality of care so that they will achieve the maximum level of function in accordance with their comprehensive plan of care. When you join the LeaderStat team, you’ll be connected with a dedicated specialist before and during your assignment. They will work with you to coordinate onboarding, book and pay for travel arrangements, and assist with any questions along the way. Job Duties Plans, organizes, and directs overall clinical operations to provide comprehensive care for residents in accordance with current federal, state, and local guidelines Develops and implements nursing service objectives, policies, and procedures to maintain quality care and compliance Ensure adequate staffing levels across all shifts Oversee and evaluate nursing personnel Ensure compliance in all areas, including in documentation and resident care plans Qualifications At least two years of experience as a DON in a long-term care setting Active Registered Nurse (RN) license in the state assigned or in an eligible Nurse Compact State Demonstrated competencies in health care management and operations, quality management, staff development, resident and family support systems, and community outreach Possess empathy and passion for serving others Serve as a leader and a trusted resource to other healthcare team members Strong computer literacy and competency skills Up-to-date clinical compliance Basic Life Support (BLS) or CPR via American Heart Association (AHA) Two-step TB test Physical exam within the last 12 months Benefits Weekly
The DON is responsible for oversight of the daily clinical and administrative operations of the nursing department to assure that each resident receives the highest quality of care so that they will achieve the maximum level of function in accordance with their comprehensive plan of care. When you j...
Staff - Registered Nurse (RN) - Clinic Psychiatric - $41-59 per hour
Kaiser Permanente is seeking a Registered Nurse (RN) Clinic Psychiatric for a nursing job in Clackamas, Oregon. ...
Travel Nurse RN - Case Manager in Medford, OR - Excellent Benefits 2024-10-10
TravelNurseSource is working with Fusion Medical Staffing to find a qualified Case Manager RN in Medford, Oregon, 97504!. Registered Nurse - Case Manager. Case Manager Registered Nurse travel assignment. Client in Medford, OR is looking for a Case Manager Registered Nurse to help them out for 13 wee...
Travel Nurse - Registered Nurse - SDU - Stepdown Unit - $2290.68 / Week
FlexCare Medical Staffing is seeking an experienced Stepdown Unit Registered Nurse for an exciting Travel Nursing job in Clackamas, OR. Additionally, the review may consider the potential impact on the nurse's ability to meet licensing and regulatory requirements as mandated by relevant healthcare a...
Travel Nurse - Registered Nurse - SDU - Stepdown Unit - $2458 / Week
Stability Healthcare is seeking an experienced Stepdown Unit Registered Nurse for an exciting Travel Nursing job in Clackamas, OR. If you are a registered nurse interested in Travel, Local Travel or Per Diem Nursing opportunities, Stability has the right assignment for you!. Stability HealthCare is ...