Senior RN Leader - Clinical Denials & Appeals
$97.59k - $137.8kUnited Surgical Partners International Inc (USPI)
United Surgical Partners International Inc (USPI) is seeking a Senior Specialist - Clinical Denials based in New York, NY. This role involves developing standards for Clinical Denials and managing timely responses to denials from payors. Candidates should have a minimum of 5 years of clinical nursing experience, with significant expertise in managing clinical denials. A Bachelor's degree in Nursing and an active RN license are required. The position offers a salary range of $97,589.95 - $137,800.00 annually. #J-18808-Ljbffr United Surgical Partners International Inc (USPI)
$101.61k - $140.3k
...Inc is seeking a Resident Care Director in New York, NY, to lead clinical services and oversee all care programs. You will manage the... ...fosters a supportive workplace and is committed to quality care in senior living. Join us in enhancing the well-being of our residents!...Senior- UASI seeks an experienced Clinical Denials and Appeals Specialist to join our Denials Management team. You will review complex payer denials and develop high-quality appeal letters to maximize reimbursement for our healthcare clients. The ideal candidate will be a strong...Suggested
$98.82k - $126k
Children’s Hospital of Philadelphia is seeking a key leadership team member responsible for overseeing nursing activities in clinical research. This role requires excellent leadership skills and a Bachelor’s in Nursing, with a strong emphasis on compliance and operational...Senior$127.31k - $167.1k
Legend Biotech in Somerset, NJ is looking for a Sr. Manager, Clinical Trial Operations Planning & Analytics. This role involves strategic planning and enhancing trial success through analytics and operational insights. The ideal candidate will bring over 7 years of experience...Senior$294.48k - $386.51k
Legend Biotech is seeking a Pipeline Clinical Lead to provide strategic and operational leadership for early stage clinical programs. The position requires a deep expertise in clinical trial design and regulatory compliance, ideally within cell therapy. Candidates should...Senior- Samaritan Village, Inc. is looking for a Senior Substance Use Counselor in New York City. This role involves managing a caseload of patients, supervising Counselors, and providing clinical consultations to assist clients in their recovery. Candidates should hold an Associate...Senior
- Remote Jobs in the United States seeks a Lead Clinical Documentation Improvement Specialist to guide the CDI team, collaborate with physicians and nurses, and ensure accurate inpatient documentation aligned with ICD-10 guidelines. The role emphasizes leadership, education...SeniorRemote work
- Dormont Manufacturing Co is seeking a Senior Occupational Therapist in Pennsylvania to evaluate, treat, and plan the discharge of patients... ...in Speech‑Language Pathology and a minimum of 5 years of clinical practice. This role involves collaborating with other healthcare...Senior
$68k - $85k
Montefiore Health System is seeking a Cancer Clinical Trials Senior Research Associate in Bronx, New York. This role supports clinical trials, ensures data accuracy, and leads the research team. Responsibilities include collecting data, mentoring junior associates, and...SeniorMonday to Friday- NYC Health + Hospitals in New York City is seeking a Licensed Clinical Social Worker (LCSW) for a supervisory position focused on providing high-quality psychosocial services. Responsibilities include mentoring staff, ensuring compliance with care standards, and addressing...Senior
- System One is seeking a Director Medical Monitor to provide medical oversight for clinical studies in Parsippany, NJ. This hybrid role requires an MD or DO with clinical drug development experience. Key responsibilities include protocol development, medical review of safety...Senior
$70.1k - $145k
Syneos Health/ inVentiv Health Commercial LLC seeks a Senior Medical Writer to join their team in Pennsylvania. The role involves leading medical writing deliverables for clinical studies and ensuring compliance with FDA and ICH regulations. With 3-5 years of experience...Senior- Philips International in Plymouth is seeking a Senior Clinical Research Associate to oversee clinical studies, ensuring adherence to protocols, regulatory standards, and data integrity. The ideal candidate will have over 5 years of experience in Clinical Research within...Senior
- Fresenius Kabi is seeking a Manager, Clinical Implementation Education, a licensed RN who will lead a team of Clinical Implementation Educators to deliver high‑quality education across customer implementations. The role drives education strategy, resource planning, and...
- ...initiatives and ensure compliance with health regulations. You will analyze outcomes, implement improvement programs, and provide clinical resource support. The ideal candidate holds a Nursing Bachelor's Degree and has significant experience in quality management. This...
$70.1k - $145k
Syneos Health/ inVentiv Health Commercial LLC is seeking a Senior Medical Writer to lead the preparation of clinical and regulatory documents, ensuring compliance with FDA and ICH regulations. The ideal candidate will have 3-5 years of experience in medical writing, guiding...SeniorFlexible hours$36 - $40 per hour
...coding career. If you are an Appeals and Denials Nurse looking for a new... ...benefits Our requirements: RN or FMG: CDIP, CCDS, CCS and/... ...employment visas at this time. Seniority level Seniority level Not Applicable... ...0.00-$95,000.00 1 month ago Clinical Review Nurse - Prior...Permanent employmentFull timeRemote workWork visa- A leading healthcare provider is seeking a Clinical Manager in New York, NY, to ensure high-quality patient care and manage clinical operations efficiently. In this role, you will lead a collaborative team, coordinate patient care, and oversee operational standards. Candidates...
- Fresenius Medical Care is seeking a Clinical Manager in New York, NY to ensure quality patient care and oversee clinical operations. The role involves managing daily facility operations, leading team members, and ensuring compliance with regulations. Candidates should...
- CH01 CHE Fresenius Medical Care (Schweiz) AG in Jonesboro, GA, is seeking a Dialysis Clinical Manager Registered Nurse (RN) to oversee clinic operations and ensure quality patient care. You will lead a collaborative team, manage clinic financials, and coordinate patient...
- RICHMOND CENTER is seeking a CNA Program Instructor (RN) in Staten Island, NY. The Program Instructor will collaborate with the Program... ...curriculum, teach both lecture and lab content, and supervise clinical training for participants. The position requires a Registered...
$71.59k - $116.48k
...prominent healthcare organization is seeking an A&G Clinical Specialist to manage health member complaints and appeals. This fully remote position requires expertise in... ...independently. The ideal candidate should be an RN, LPN or Dental Hygienist with experience in appeals...Remote job- Healthfirst is seeking an Appeals & Grievances Clinical Specialist responsible for receiving, investigating, and responding to member and provider appeals... ...regulatory site visits. Minimum qualification includes an RN license; preferred qualifications cover experience in...
- ...States is seeking a passionate Nurse Manager to oversee nursing practice and operations in various units. This role requires strong clinical leadership, critical thinking, and at least 3-5 years of progressive nursing management experience. The ideal candidate will hold...
- Alignment Health seeks a Clinical Appeals Nurse to review appeals for inpatient and outpatient services. The role requires applying clinical... ..., coding, and documentation, coordinate records, and prepare denial letters when needed. The position emphasizes HIPAA-compliant...
$28.57 - $35.71 per hour
A healthcare service provider in New York is seeking a Senior Substance Use Counselor to manage patient caseloads, supervise Counselors, and provide training on EMR systems. The ideal candidate will hold an Associate's degree and CASAC Level 2 certification, with 5-7 years...SeniorHourly pay- Syracuse University is looking for a Legal Clinic Budget Support Associate to provide administrative and operational leadership in managing budgets for the College of Law’s clinical programs. This full-time position includes financial management of grants and gift funds...SeniorFull time
- Dormont Manufacturing Co is seeking a Sr Clinical Veterinarian to advance veterinary care quality at Houston Methodist. This key position leads veterinary oversight to ensure compliance with federal regulations and guidelines, managing laboratory animal care and research...Senior
$81.1k - $116.48k
Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints... ...to the authorization of or delivery of clinical and non-clinical services. A&G works in collaboration... ...as assigned. Minimum Qualifications: RN, LPN OR Dental Hygienist Preferred...Remote jobContract workTemporary workWork experience placementLocal areaMonday to FridayShift work- A healthcare provider in New York is seeking a Lead Medical Assistant / Clinical Workflow Coordinator to manage clinical workflow and back-office operations. The role includes overseeing lab results, managing paperwork, and facilitating communication between staff and...Senior
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