A company is looking for a Clinical Appeals Nurse (RN) to make clinical decisions for appeals outcomes within compliance standards.
Key ResponsibilitiesPerform clinical reviews of denied cases and assess service appropriatenessResolve escalated complaints and identify quality of care issuesPrepare and present cases for administrative hearings and serve as a clinical resourceRequired QualificationsGraduate from an Accredited School of Nursing;
Bachelor's degree preferred3-5 years clinical nursing experience, with 1-3 years in Managed CareKnowledge of ICD-9, CPT coding, and HCPCActive, unrestricted State Registered Nursing (RN) license in good standingExperience with CMS Guidelines, MCG, InterQual, and state regulatory requirements
Clinical Appeals Nurse - State Licensed
A company is looking for a Clinical Appeals Nurse (RN) to make clinical decisions for appeals outcomes within compliance standards. ...
Licensed Practical Nurse 2
Licensed Practical Nurses provide general or psychiatric practical nursing care in accordance with the authorized scope of practice specified in the Nurse Practice Act. Licensed Practical Nurse 2 position involves multiple critical responsibilities. These duties must be performed in accordance with ...
Clinical Appeals Nurse Manager
A company is looking for a Clinical Appeals Nurse Manager. ...
Clinical Pharmacist State Licensed Pharmacist
A company is looking for a Clinical Support PharmacistKey Responsibilities:Thoroughly review and verify new and refill prescriptionsVerify accuracy of prescription orders fulfilled by the pharmacyProvide customer service support to pet owners, veterinarians, and pharmacy staffRequired Qualifications...
Rn Case Manager -spring Valley Hospital (full Time)
Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Two years experience in Utilization Review, Utilization Management or Case Management preferred. ...
Licensed Psychiatric Nurse Practitioner (Virtual)
Remote Licensed Psychiatric Nurse Practitioner. We are excited to begin helping you if you are a fully-licensed, ANCC board-certified Psychiatric Nurse Practitioner with:. Are you a licensed Psychiatric Nurse looking to launch a private practice, or grow your existing practice? Headway can help you ...
Travel Registered Nurse - PCU - $2,103 to $2,256 per week in Reno, NV
Host Healthcare is an award-winning travel healthcare company with an immediate opening for this .Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home.Starting the day you apply, ...
Travel Registered Nurse - Telemetry - $2,228 per week in Nevada
Travel Nursing: Telemetry Reno.Location: Reno.Start Date: 10/7/2024.Shift Details: 12H Variable (12:00 AM-12:00 PM).Length: 13 WEEKS 13 weeks.Apply for specific facility details....
Travel Registered Nurse - PACU/Pre-Post Op - $1,773 to $2,136 per week in Elko, NV
Registered Nurse - Post-Anesthesia. Post-Anesthesia Registered Nurse travel assignment. Client in Elko, NV is looking for a Post-Anesthesia Registered Nurse to help them out for 13 weeks. One to three years experience as a Registered Nurse preferred. ...
Bilingual Telephonic Case Manager - CA Compact RN
A company is looking for a Bilingual Telephonic Case Manager with compact and CA RN licenses. ...