Clinical Precertification & Pre-Service Appeals Nurse
CURE Auto Insurance
CURE Auto Insurance in Princeton, NJ is seeking a skilled Precertification & Pre-Service Appeals Nurse. In this role, you will serve as a clinical bridge between provider orders and the approval process, ensuring compliance with New Jersey guidelines. The ideal candidate must hold an active nursing license and have 2-3 years of clinical experience. The position offers competitive salaries and a comprehensive benefits package, including health coverage and flexible work hours. #J-18808-Ljbffr
$65k - $75k
...with a generous company match, and much more! CURE is seeking a skilled and motivated Precertification & Pre‑Service Appeals Nurse to join our team. In this role, you will be the clinical bridge between provider orders and insurance approval. You will evaluate clinical...SuggestedWork at officeLocal areaRemote workWork visaFlexible hours1 day per week- ...Citizens United Reciprocal Exchange in Princeton, NJ, is seeking a Precertification & Pre-Service Appeals Nurse. This role involves evaluating clinical documentation for insurance approval and managing the pre-service appeals process. Ideal candidates possess a nursing...SuggestedFlexible hours
- ...Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote-United States Job... ...Overview Tanaq Support Services (TSS) delivers professional, scientific... ...including but not limited to Registered Nurses (RN), Physical Therapists (PT), Occupational...SuggestedFull timeContract workPart timeFor contractorsWork at officeLocal areaRemote workNight shift
$71.2k - $158.2k
...Principal Consultant - Oracle Health - Clinical Supply Chain Location: United States... ...Guard, Veterans Affairs and Indian Health Service. The Federal Consulting team is a group... ...dependent care Flexible Spending Accounts # Pre-tax commuter and parking benefits #401(...SuggestedContract workTemporary workWork experience placementLocal areaVisa sponsorshipFlexible hours$92.29k - $120.58k
...Capital Health (US) in Lawrenceville, NJ, is seeking a Clinical Appeals Nurse to oversee clinical review, development, and submission of inpatient and outpatient claims. The position requires a graduate of an accredited nursing program and three years of clinical nursing...Suggested- ...Role: Clinical RN I - Pre/Post Pay Audit Location: Remote (NJ, NY, PA, CT, DE) Job Summary Performs pre- and post-pay clinical audits to ensure documentation accuracy, authorization validation, and compliance with medical necessity criteria. Follows defined...Remote work
$82.5k - $166.1k
...role offers a chance to continue your service in a new way. As a Clinical Consultant , you’ll partner with... ...Qualifications Bachelor’s degree in nursing Active Registered Nurse (RN)... ...care Flexible Spending Accounts # Pre-tax commuter and parking benefits...Temporary workWork experience placementLocal areaFlexible hours- ## Nurse Navigator - Full- timeApplylocations: Hamilton, NJtime type... ...the one-on-one care and service they deserve.**Job Description... ...the procedure date, time, and pre/peri/post-operative instructions... ...accordingly.* Act as liaison with clinical and administrative staff as...Full timeImmediate start
- ...Clinical Services Associate - Full Time Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients... ...into roles such as a Clinical Services Coordinator, Nurses, and Practice Managers just to name a few! Penn Medicine employees...Full time
$56k - $85k
...Licensed Clinical Social Worker LCSW Are you passionate about working... ...in-person psychotherapy services to the geriatric population. We... ...currently serve over 300 Skilled Nursing Facilities including sub-acute... ...insurance, credentialing, and pre certifications --- so you can...Full timeTemporary workPart timeCurrently hiringFlexible hours$49.96 - $68.99 per hour
...Registered Nurse (RN) - Pre & Post Op - Monroe Surgery Center Penn Medicine is dedicated to our tripartite mission of providing the highest... ...leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines....Hourly payImmediate startMonday to FridayFlexible hoursShift workDay shift$75k - $100k
...looking to hire talented Licensed Therapists in the Princeton Junction, NJ area who are passionate about patient care and committed to clinical excellence. **Must be able to see children and adolescents*** *Sign-On Bonus provided* **Recently licensed and experienced...Full timeRelocation packageFlexible hours- ...Senior Clinical Trial Associate - Contract - REMOTE, Princeton, NJ Drive clinical trial excellence from behind the scenes-where precision, coordination, and impact meet. Proclinical is seeking a Senior Clinical Trial Associate to join our client's Clinical Operations...Contract workRemote work
$49.96 - $68.99 per hour
...Penn Medicine, University of Pennsylvania Health System is seeking a skilled Pre/Post Op Registered Nurse (RN) in Plainsboro Township, NJ. This role offers an impactful opportunity to contribute to patient care in a leading academic medical center. The position includes...Hourly pay- ...Registered Nurse Be a part of our talented and growing team! Are... ...Responsibilities As an important part of our clinical operations, your duties will... ...excellent customer service RN Requirements: Valid RN license... ..., NJ Princeton, NJ Monroe, NJ Pre-employment drug screen is...Full timePrivate practiceWork at officeLocal areaMonday to Friday
$49.96 - $68.99 per hour
...medical center means collaborating with top clinical, technical, and business professionals... ...looking to expand our team with a full‑time nurse. Scheduling Requirements Three days a... ...Health Savings Accounts (FSA/HAS) to save pre‑tax dollars 403(b) Retirement Savings – employer...Hourly payFull timePart timeWork experience placementMonday to FridayFlexible hoursDay shift3 days per week$39.1 - $46.38 per hour
...FT Infusion Registered Nurse (RN) Princeton, New Jersey, United... ...career advancement. Advanced Clinical Training – Receive ultrasound... ...a foundation in world class service and clinical excellence Benefits... .... ~ Dependent Care FSA – Pre-tax savings for eligible...Full timeTemporary workLocal areaFlexible hoursDay shift- ...Registered Nurse (RN) Join our team today and immerse yourself in a rewarding career for years to come! Our programs service adults, children, and families. Your role will be essential to... ...driver's license in good standing and pre-employment drug screening. Oaks Integrated...Flexible hours
$49.96 - $68.99 per hour
...means collaboration with top clinical, technical and business professionals... ...a full time Registered Nurse (RN) to work the night shift within... ...Delivery department provides services to identify and respond to... ...Savings Accounts (FSA/HAS) to save pre‑tax dollars 403b Retirement...Hourly payFull timeImmediate startFlexible hoursNight shiftWeekend work$49.96 - $68.99 per hour
...medical center means collaboration with top clinical, technical and business professionals... ...intensive treatment, monitoring and complex nursing care. Eight beds are designated as IMCU (... ...Savings Accounts (FSA/HAS) to save pre‑tax dollars 403b Retirement Savings: Our...Hourly payPart timeWork experience placementCurrently hiringImmediate startFlexible hoursShift workNight shift$85.1k
...Clinical Pharmacist Starting at $85,100 MAJOR FUNCTION The Clinical Pharmacist works... ...health outcomes and clinical pharmacy services reimbursement. ESSENTIAL FUNCTIONS... ...preferred New Jersey Board of Pharmacy Pre-Approval to engage in collaborative practice...Work at office- ...North Brunswick, NJ Full-Time Home Infusion Nurse Enhance your career with InfuCare Rx,... ...of the InfuCare model for those on our service. InfuCare Rx is building a strong presence... ...Compliance: Assure proper maintenance of clinical records in compliance with local, state,...Full timeWork at officeLocal area
- ...teams in relation to courtesy pre-determination requests, claims... ...pending for medical review and appeal inquiries. 2. Prepares cases... ...bachelor's degree (or higher) in nursing and/or a health related field... ...a minimum of two (2) years clinical experience. #J-18808-Ljbffr...
$35 - $55 per hour
.... JOB DUTIES The Camp Nurse is responsible for overseeing... ...may be assigned. Conduct pre-camp review of camper and staff... ...escalation to emergency medical services when necessary Administer... ...SKILLS & ABILITIES Strong clinical assessment and critical...Hourly payTemporary workPart timeSummer workSeasonal work- A medical practice in New Jersey is seeking a Certified Medical Assistant to join their team. The ideal candidate will have recent experience in a medical office setting and be responsible for patient care duties including escorting patients, taking vitals, and assisting...Work at officeRelocation package
$121.8 per hour
" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $121.8/hour Licensed Clinical Social Worker — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher...Bi-weekly payPrivate practice$121.8 per hour
" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $121.8/hour Licensed Clinical Social Worker — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher...Bi-weekly payPrivate practice- ...Phlebotomist Responsibilities: As an important part of our clinical operations, your duties will include: Responsible for knowing... ...: Princeton, NJ Plainsboro, NJ Monroe, NJ Pre-employment drug screen is required Pre-employment professional...Full timePrivate practiceWork at officeLocal areaMonday to Friday
- ...positive experience. The role includes maintaining a clean facility, handling laundry, and scheduling patients. Candidates should have excellent customer service skills and a team-oriented attitude. Benefits include HSA options, life insurance, and PTO. #J-18808-Ljbffr...
$49.96 - $68.99 per hour
...Registered Nurse - Telemetry Unit - Full Time (7a-7p) Penn Medicine is dedicated to our... ...center means collaboration with top clinical, technical and business professionals across... ...effusions. Nurses will care for patients Pre/Post Cardioversions, Cardiac Catheterization...Hourly payFull timeWork experience placementImmediate startFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Precertification & Pre-Service Appeals Nurse. Be the first to apply!



