Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Clinical Coordinator, Coverage Determinations & Appeals

Valid8 Financial, Inc.

Valid8 Financial, Inc. is looking for a Clinical Coordinator to manage clinical functions related to coverage determinations and appeals. This role demands efficiency and accuracy in processing requests and necessitates a current Pharmacy Technician Certification. The position is ideal for individuals with experience in pharmacy benefit management, looking to contribute in a dynamic and supportive healthcare environment. The successful candidate will create case files, handle inquiries, and ensure compliance with established protocols. #J-18808-Ljbffr Valid8 Financial, Inc.

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Clinical Coordinator, Coverage Determinations & Appeals in Las Vegas, NV vacancy
  •  ...simple and affordable for plan sponsors and members. Job Overview As a Clinical Coordinator, you will be responsible for supporting the clinical functions of coverage determinations and appeals in accordance with the policies and practices of SlateRx, LLC. This position... 
    Suggested

    Valid8 Financial, Inc.

    Las Vegas, NV
    5 days ago
  • $46.75 - $69.46 per hour

     ...Clinical Nurse Coordinator Hourly Wage Estimate: $46.75 - $69.46 / hour Learn more about the benefits...  ...hired. Factors that may be used to determine your actual salary may include your...  ...leave, long- and short-term disability coverage and leaves of absence Savings and... 
    Suggested
    Hourly pay
    Temporary work
    Flexible hours
    Shift work

    HCA Healthcare

    Las Vegas, NV
    4 days ago
  • $46.75 - $69.46 per hour

     ...candidates hired. Factors that may be used to determine your actual salary may include your...  ...midpoint of the range. As a RN Clinical Nurse Coordinator Oncology, your voice to influence...  ...leave, long- and short-term disability coverage and leaves of absence Savings and... 
    Suggested
    Hourly pay
    Temporary work
    Flexible hours
    Shift work

    Sunrise Hospital and Medical Center

    Las Vegas, NV
    2 days ago
  • $51.46 - $77.2 per hour

     ...Factors that may be used to determine your actual salary may include...  ...care delivery, advancing clinical outcomes, and empowering our...  ...Qualifications  The Clinical Nurse Coordinator (CNC) ensures and delivers...  ...- and short-term disability coverage and leaves of absence... 
    Suggested
    Hourly pay
    Temporary work
    Flexible hours
    Shift work

    Sunrise Hospital and Medical Center

    Las Vegas, NV
    2 days ago
  • $51.46 - $77.2 per hour

     ...organization that invests in you as a Clinical Nurse Coordinator - Trauma Surgical ICU? At Sunrise...  ...candidates hired. Factors that may be used to determine your actual salary may include your...  .... Benefits Comprehensive medical coverage that covers many common services at no... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Part time
    Flexible hours
    Shift work
    Night shift
    Rotating shift

    Sunrise Hospital

    Las Vegas, NV
    12 hours ago
  • $20 - $22 per hour

     ...Job Description Job Description Clinical Insurance Coordinator Location: Las Vegas, NV Employment Type: Full-Time | Onsite Pay: $20...  ...patients are cleared for care. Assist with reconsiderations, appeals, and peer-to-peer coordination. Maintain accurate... 
    Hourly pay
    Full time
    Work at office

    Cornerstone Staffing Solutions Inc

    Las Vegas, NV
    13 days ago
  • $18 - $32 per hour

    **Requisition number:** 2384386 **Job category:** Medical & Clinical Operations Optum is a global organization that delivers care, aided...  ...**Location:** 1655 E. Cactus Ave. Henderson, NV. Training and coverage may be required at other clinics in Las Vegas and Henderson, depending... 
    Hourly pay
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Work at office
    Local area
    Monday to Friday
    Flexible hours
    Afternoon shift

    UnitedHealth Group

    Las Vegas, NV
    4 days ago
  • $50.25 - $75.39 per hour

     ...Factors that may be used to determine your actual salary may include...  ...you fully equipped. Ongoing clinical education to improve your...  ...weekends The Clinical Nurse Coordinator (CNC) ensures and delivers high...  ...- and short-term disability coverage and leaves of absence... 
    Hourly pay
    Full time
    Temporary work
    Flexible hours
    Shift work
    Rotating shift

    MountainView Hospital

    Las Vegas, NV
    3 days ago
  • $44.99 - $69.44 per hour

     ...Clinic Mountain View MOB Suite 330 Full time R182866 Job Description: Dept:...  ...systems. Complexity of Scope - Primary Determinant This position is typically responsible...  ...by providing up-front tuition coverage paid directly to the academic institution... 
    Hourly pay
    Full time
    Remote work

    Intermountain Health

    Las Vegas, NV
    5 days ago
  •  ...~ Hydraulic modeling and system master planning ~ Utility coordination and underground infrastructure ~ Project and financial management...  ...and driving record review. Civil Science evaluates and determines on a case-by-case basis whether it is willing to sponsor an... 
    Permanent employment
    Full time
    Temporary work
    H1b
    Local area
    Relocation
    Work visa

    Civil Science

    Las Vegas, NV
    28 days ago
  •  ...Job Description Job Description Position: Clinical Documentation Coordinator (Hybrid) Location: Las Vegas, NV **This position is on-site in Las Vegas, NV, 89102. A relocation bonus would be given to candidates that are willing to relocate to Las Vegas. ** Full... 
    Full time
    Relocation
    Relocation package

    Global Force USA

    Las Vegas, NV
    a month ago
  •  ...safety, continuous improvement, and regulatory excellence. We are currently seeking a dedicated and detail-oriented  Clinical Quality and Risk Coordinator to join our team and make a meaningful difference in patient outcomes. The position is responsible for incident... 
    Full time
    Temporary work

    Desert Parkway Behavioral Healthcare Hospital

    Las Vegas, NV
    6 days ago
  • Sunrise Hospital in Las Vegas, NV is seeking a Clinical Nurse Coordinator (CNC) to ensure high-quality, patient-centered care during the assigned shift. The CNC directs nursing care, serves as a resource for staff, and aligns with policies to support excellent patient... 
    Shift work

    Sunrise Hospital

    Las Vegas, NV
    12 hours ago
  •  ...Fisher Scientific is seeking a Corporate Compliance Associate II to support clinical trials across our research sites. You will ensure data quality and regulatory compliance while coordinating operational activities and maintaining essential documentation. In this role... 
    Worldwide

    ThermoFisher Scientific

    Las Vegas, NV
    12 hours ago
  • University of Nevada, Las Vegas invites applications for the Clinical Trials Regulatory Coordinator within the Research Department, Kirk Kerkorian School of Medicine. The role ensures regulatory documents are prepared, submitted, and maintained for clinical studies in... 

    University of Nevada-Las Vegas

    Las Vegas, NV
    1 day ago
  • $10k

     ...Description Job Description The Clinical Manager – Care Management |...  ...position ensures effective coordination of patient care across the...  ...patient medical records to determine acute-care criteria and...  ...authorizations, denials, and appeals. Ensure compliance with healthcare... 
    Full time

    Lancesoft INC

    Las Vegas, NV
    8 days ago
  • $248.5k - $373k

     ...Caring. Connecting. Growing together. Clinical Advocacy & Support has an unrelenting...  ...exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is...  ...processes related to benefit coverage determinations, quality improvement and cost... 
    Remote job
    Minimum wage
    Full time
    Work experience placement
    Local area

    divvyDOSE

    Las Vegas, NV
    5 days ago
  •  ...Role Overview Manages one or more clinical units. Duties include determining appropriate staffing levels to achieve...  ..., planning, implementation and coordination of patient care); disease process;...  ...20 per paycheck for employee‑only coverage Consolidated Annual Leave (CAL) -... 
    Temporary work
    Work at office
    Local area

    Careers In Government

    Las Vegas, NV
    1 day ago
  •  ...OF THE CEO. Manages one or more clinical units. Duties include determining appropriate staffing levels to achieve...  ..., planning, implementation and coordination of patient care); disease process;...  ...20 per paycheck for employee‑only coverage Consolidated Annual Leave (CAL) -... 
    Temporary work
    Work at office
    Local area

    Careers In Government

    Las Vegas, NV
    12 hours ago
  • $19 - $25 per hour

     ...primary role of the Medical Healthcare Coordinator is to gain a financial commitment from the...  ...reports, data entry, monitoring of clinical charting and billing, ensuring productivity...  ...in monitoring prescriptions, insurance coverage and any other related paperworkResponsible... 
    Work at office
    Local area
    Immediate start

    PDS Health

    Las Vegas, NV
    2 days ago
  •  ...leader, commanding client confidence at the executive level and mentoring the next generation of processing engineers. Commodity Coverage Base metals (copper, zinc, nickel, lead) Precious metals (gold, silver, PGMs) Critical minerals (lithium, cobalt, rare... 
    Work at office
    Local area
    Worldwide
    Flexible hours

    AECOM

    Las Vegas, NV
    3 days ago
  • A healthcare facility in Nevada is seeking a Clinical Quality and Risk Coordinator to ensure regulatory compliance and improve patient outcomes. The role includes conducting incident investigations, analyzing data, and managing complaints. Candidates must possess valid... 

    Desert Parkway Behavioral Healthcare Hospital

    Las Vegas, NV
    12 hours ago
  •  ...of the Practice in support of the organization’s patient and clinical care, with management and performance objectives.   Specifically...  ...for evaluating the operations and financial performance to determine goals for the Practice’s growth and success, including... 
    Flexible hours

    Access Health Dental

    Las Vegas, NV
    8 days ago
  • $248.5k - $373k

     ...500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth GroupFor...  ...management principles, grand rounds, coordinating the patient transition to post acute stytem...  ...Hospital settingKnowledge of Medicare coverage criteriaDemonstrated excellent medical... 
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    UnitedHealth Group

    Las Vegas, NV
    2 days ago
  • $85.97k - $128.96k

     ...candidates hired. Factors that may be used to determine your actual salary may include your...  ...and manage the day-to-day operations of clinical education experiences for nursing...  ...benefits, including: Comprehensive medical coverage that covers many common services at no cost... 
    Full time
    Temporary work
    Part time
    Flexible hours

    Galen College of Nursing

    Las Vegas, NV
    2 days ago
  • $20 per hour

     ...Job Description Job Description Medical Call Center Coordinator Location: Las Vegas Employment Type: Full-Time - Temp to hire...  ...Responsibilities Serve as the primary contact for patients and clinical staff Greet and assist patients in a courteous and... 
    Hourly pay
    Full time
    Temporary work
    Work at office
    Immediate start
    Monday to Friday

    Cornerstone Staffing Solutions Inc

    Las Vegas, NV
    13 days ago
  • Sunrise Hospital in Las Vegas is seeking a Clinical Nurse Coordinator (CNC) to ensure high-quality, patient-centered care and coordinate unit activities during the shift. The CNC directs, monitors, and evaluates nursing care in alignment with policies, serving as a resource... 
    Shift work

    Sunrise Hospital

    Las Vegas, NV
    12 hours ago
  • MountainView Hospital in Las Vegas, NV is seeking a Clinical Nurse Coordinator to lead Labor and Delivery, ensuring high-quality, patient-centered care and coordination of the unit. You will direct nursing care, work with management, and support staffing and goals to improve... 

    MountainView Hospital

    Las Vegas, NV
    3 days ago
  •  ...money and the care they need, when they need it most. Our companies are leaders in their industries! MoveDocs streamlines the coordination of medical, financial, and professional services for personal injury cases—improving efficiency for attorneys, care providers, and... 
    Odd job
    Full time
    Live in
    Work at office
    Flexible hours

    Libra Solutions

    Las Vegas, NV
    1 day ago
  •  ...someone who is organized, dependable, professional, and comfortable managing staff, providers, patient flow, scheduling, and overall clinic operations. Responsibilities Oversee daily clinic operations Supervise front office, medical assistants, scheduling, and support... 
    Full time
    Work at office
    Monday to Friday

    SNOHC

    North Las Vegas, NV
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Coordinator, Coverage Determinations & Appeals. Be the first to apply!