A company is looking for a Weekend Clinical Review Coordinator, Appeals and Denials - Remote.Key ResponsibilitiesProcess denial-related communications and ensure compliance with Federal and State requirementsAct as a liaison for internal and external communication regarding appeals and denialsDocument and communicate appeal and denial information, including writing member-facing lettersRequired QualificationsActive, unrestricted registered clinical license (RN, PT, OT, or ST)3+ years of clinical experience in a relevant fieldProficient with Windows and Microsoft Office SuiteAbility to work Thursday - Sunday, 7am - 8pm CentralDedicated workspace with high-speed internet access
Weekend Clinical Review Coordinator RN
A company is looking for a Weekend Clinical Review Coordinator, Appeals and Denials - Remote. ...
Clinical Coordinator RN/ Case Manager RN
Case Management and/or Utilization Review and Discharge Planning experience required. Traveler would be doing InterQual reviews and Discharge Planning. ...
Clinical Review/Utilization Nurse (RN) -PRN
Gathers and reviews relevant medical information and documents utilization review process outcome based on system accepted utilization criteria on the accepted current review forms and in computer systems. Ensures completion of appropriate clinical review of all applicable patients as stated in syst...
Clinical Review Coordinator - RN LPN
A company is looking for a Clinical Review Coordinator - RN/LPN (Remote) to support the Indiana Level of Care Assessment program. ...
Care Coordinator, RN (Weekend)
Graduate of an accredited Registered Nursing School (RN) with a current GARN license. Provides the necessary interventions in order to assure effective and efficient clinical resource management. One (1) year previous experience in case management, utilization review, or social services. ...
Clinical Review Coordinator
A company is looking for a Clinical Review Coordinator to ensure the quality and accuracy of assessments and clinical operations. LCSW, LMSW, LCT, LMFT)Minimum of four years of experience in mental health or social services, specifically with child and adolescent mental healthMinimum of two years of...
Sr. Clinical Review Coordinator - RN (Remote)
Minimum Requirements - Current Registered Nurse (RN) license valid in the state of practice is required - High School Degree or equivalent required - Minimum 2 years of clinical experience required - Associates degree required - Active and unrestricted license as an RN in th...
Care Coordinator, RN (Weekend)
Graduate of an accredited Registered Nursing School (RN) with a current GARN license. Provides the necessary interventions in order to assure effective and efficient clinical resource management. One (1) year previous experience in case management, utilization review, or social services. ...
Clinical Procedural Coordinator Registered Nurse / RN
In collaboration with clinical leaders, provides weekly and daily clinical review of the surgical schedule to ensure procedures are posted correctly, including case accuracy, appropriate equipment is requested and available and procedure is posted in the correct procedural area/operating room. Regis...
Social Services - Clinical Coordinator - Weekends - Msw
The Weekend Clinical Coordinator is part of the Social Services Leadership Team. The Weekend Clinical Coordinator is. Assist Director of Social Services in the supervision of weekend Social Services staff to include prioritizing and delegating clinical tasks among staff members, evaluating performan...