State Licensed Senior Clinical Appeals RNVirtualVocations • Tulsa, Oklahoma, United States
State Licensed Senior Clinical Appeals RN
VirtualVocations • Tulsa, Oklahoma, United States
job_description.job_card.variable_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 a Senior Clinical Appeals RN.
Key Responsibilities
Analyze and respond to DRG appeals, including complex conceptual analyses
Review medical records and collaborate with auditors to determine overpayment or claim adjustments
Prepare written appeals and provide coaching to remote DRG Validation Specialists
Required Qualifications
Associate's degree (or higher)
Unrestricted RN license in the state of residence
3+ years of MS DRG / APR DRG coding experience in a hospital environment
Advanced proficiency with ICD-10-CM and ICD-10-PCS coding
CCS or CIC certification or ability to obtain within 6 months of hire
serp_jobs.job_alerts.create_a_job
Licensed Clinical • Tulsa, Oklahoma, United States
Job_description.internal_linking.related_jobs)
We are currently searching for Dedicated Company Drivers for our terminal in Tulsa, OK!.Acceptable Motor Vehicle Record.Class A tanker experience within the past 2 years, .Class A tractor-trai...serp_jobs.internal_linking.show_more A company is looking for a Remote Case Manager.Key Responsibilities : Collaborate with a multidisciplinary healthcare team to monitor utilization patterns and facilitate appropriate care delivery ...serp_jobs.internal_linking.show_more A company is looking for a Field RN Case Manager.Key Responsibilities Manage patient care and coordinate services in a remote setting Conduct assessments and develop care plans based on patient ...serp_jobs.internal_linking.show_more 
Full-time, Day Shift, 7am-7pm, 12hr shifts, 36hrs per week.Various health insurance options & wellness plans.Retirement benefits including employer match plans.
Long-term & short-term disability.Emp...serp_jobs.internal_linking.show_more
Clinical Director – Seasons Hospice (Tulsa, OK).Are you an experienced RN leader searching for a role where your skills make a lasting impact—and your heart finds purpose? Seasons Hospice, a.This i...serp_jobs.internal_linking.show_more A company is looking for a Care Review Clinician (RN).Key Responsibilities Assess services for members to ensure optimum outcomes and compliance with regulations Analyze clinical service request...serp_jobs.internal_linking.show_more A company is looking for a Director of Utilization Management.Key Responsibilities Develop and implement strategic plans for Utilization Management aligned with organizational goals Direct all U...serp_jobs.internal_linking.show_more A company is looking for an Intake Clinician to join their team remotely in Asheville, NC.Key Responsibilities Conduct screenings and level of care assessments utilizing clinical expertise Facil...serp_jobs.internal_linking.show_more A company is looking for a Clinical Review Manager to oversee medical reviews for utilization management.Key Responsibilities Initiate referrals for appropriate coordination of care Assist in co...serp_jobs.internal_linking.show_more A company is looking for a Clinical Review Nurse - Prior Authorization.Key Responsibilities Analyze prior authorization requests to determine medical necessity and appropriate level of care Coor...serp_jobs.internal_linking.show_more A company is looking for a HSPC Clinical Resource Nurse.Key Responsibilities Ensures appropriate clinical pathways are assigned on the plan of care Completes daily oversight of the Muse system f...serp_jobs.internal_linking.show_more We are currently searching for Dedicated Company Drivers for our terminal in Tulsa, OK!.Acceptable Motor Vehicle Record.Class A tanker experience within the past 2 years, .Class A tractor-trai...serp_jobs.internal_linking.show_more Weekly Travel Rate up to $1,387 - $2,170.Associate Travel Program - Telemetry RN.Night shifts available, 36 hours per week.
Multiple Ascension acute care hospitals.Local and national travel options ...serp_jobs.internal_linking.show_more A company is looking for a Clinical Administrative Coordinator.Key Responsibilities Process release of information (ROI) requests, ensuring accuracy and compliance with regulations Engage in dir...serp_jobs.internal_linking.show_more A company is looking for a Clinical Documentation Integrity (CDI) Specialist - Remote.Key Responsibilities Conducts initial and follow-up reviews of medical records to ensure accurate documentati...serp_jobs.internal_linking.show_more Full-time, Night Shift, 7pm-7am, 12hr shifts, 36hrs per week.Various health insurance options & wellness plans.Retirement benefits including employer match plans.
Long-term & short-term disability.E...serp_jobs.internal_linking.show_more 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 adhe...serp_jobs.internal_linking.show_more 
Clinical Director Seasons Hospice (Tulsa, OK).Are you an experienced RN leader searching for a role where your skills make a lasting impactand your heart finds purpose? Seasons Hospice, a.This is ...serp_jobs.internal_linking.show_more
CDL A Truck Driver
United Petroleum Transports (UPT) • Bristow, Oklahoma, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
North Carolina Licensed Case Manager, RN
VirtualVocations • Tulsa, Oklahoma, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Ohio Licensed Field RN Case Manager
VirtualVocations • Tulsa, Oklahoma, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN-Clinical Lead
Ascension • Catoosa, OK, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinical Director
Seasons & Crown Hospice, Inc • Tulsa, OK, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Arizona Licensed Care Review Clinician
VirtualVocations • Tulsa, Oklahoma, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Texas Licensed Clinical Nurse Director
VirtualVocations • Tulsa, Oklahoma, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
North Carolina Licensed Intake Clinician
VirtualVocations • Tulsa, Oklahoma, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Tennessee Licensed Clinical Review Manager
VirtualVocations • Tulsa, Oklahoma, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Wisconsin Licensed Clinical Review Nurse
VirtualVocations • Tulsa, Oklahoma, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
North Carolina Licensed Clinical Resource Nurse
VirtualVocations • Tulsa, Oklahoma, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
CDL-A Dedicated Company Truck Driver - Tulsa, OK
United Petroleum Transports (UPT) • Bristow, Oklahoma, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Registered Nurse RN - Telemetry
Ascension • Catoosa, OK, US
serp_jobs.job_card.full_time +2
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Arizona Licensed Clinical Coordinator
VirtualVocations • Tulsa, Oklahoma, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Clinical Documentation Specialist
VirtualVocations • Tulsa, Oklahoma, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN Clinical Lead Observation Unit
Ascension • Jenks, OK, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Maryland Licensed Clinical Appeals Nurse
VirtualVocations • Tulsa, Oklahoma, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinical Director (Tulsa)
Seasons & Crown Hospice, Inc • Tulsa, OK, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted