Clinical Appeals Coordinator - Denials & Retro Auth
Loma Linda University Medical Center
Loma Linda University Health is seeking a Coordinator-Clinical Appeals in San Bernardino, responsible for supporting the Billing and Collections department. This role includes reviewing clinical denials, documenting appeal efforts, and conducting quality improvement projects across LLUH facilities. The ideal candidate will have a minimum of three years in utilization management, and relevant certifications like BLS and preferred LVN license. Join us in a supportive environment committed to diversity and equal opportunities. #J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Clinical Appeals Coordinator - Denials & Retro Auth in San Bernardino, CA vacancy
$250k - $300k
...determinations to the provider/vendor (denial/modification/redirection).... ...evaluate often-complex clinical information to help formulate... ...directors, nurses, and coordinators participate in the pre-service... ...care. Quality/Grievance and Appeals. Physician shall: Understand...SuggestedFull timeCasual workRelocation packageFlexible hoursRegal Medical Group
San Bernardino, CA3 days ago- ...Clinical Nurse Coordinator - LDRP - Nights page is loaded## Clinical Nurse Coordinator - LDRP - Nightslocations: HPH Highland Park Hospitaltime type: Full timeposted on: Posted Todayjob requisition id: R42434**Hourly Pay Range:**$43.69 - $67.72 - The hourly pay rate offered...SuggestedHourly payFull timePart timeNight shift
Edward-Elmhurst Health
Highland, CA17 hours ago - ...A bit about us: Join our team- Full-time RN Clinical Coordinator position. You might find it incredibly rewarding to give back to the community and mentor the next generation of students in nursing. Take a look below. Why join us? You'll Love: Paid...SuggestedFull timeLocal areaImmediate startMonday to FridayFlexible hours
Jobot
San Bernardino, CA5 days ago - ...Edward Elmhurst Health is hiring a Clinical Nurse Coordinator for the LDRP unit at Highland Park Hospital. This full-time night shift role (1900-0730 and 2300-0730) requires a Bachelor of Science in Nursing and a minimum of three years’ clinical experience, including...SuggestedFull timeNight shift
Edward-Elmhurst Health
Highland, CA17 hours ago - Direct Jobs is looking for a Registered Nurse (RN) for the Clinical Operations Support Team in Loma Linda, California. The RN will deliver... ...-based care across various settings, including patient care coordination and nursing education. Successful candidates will have a valid...SuggestedFull timeShift work
$72.35k - $91.64k
...Donation Clinical Coordinator NS Join Us in Transforming Lives Every Day At OneLegacy, every moment counts. As the nation's largest organ, eye, and tissue recovery organization, we are dedicated to saving lives and sharing hope. Guided by our values of integrity...Full timeWork at officeShift workNight shiftDay shiftAfternoon shift- A community mental health organization in California seeks a Clinical Assessor to provide therapeutic and prevention services for clients and families. The role involves case management, facilitating support groups, and ensuring compliance with treatment plans. Candidates...
- ...A leading donation organization in Redlands seeks a full-time Recovery Coordinator. This role involves assisting hospitals in identifying potential donors and managing their care. Applicants must have an EMT, Paramedic, or LVN license, with experience in medical terminology...Full time
OneLegacy
Redlands, CA17 hours ago - ...Overview Gloucester, Virginia. Responsible for overseeing day to day clinic schedules and clinical team member schedules for proper... ...Required) 1 year Leadership (charge nurse, team lead, clinical coordinator, etc) (Preferred) Skills And Abilities Department-specific...Work at officeFlexible hours
RIVERSIDE HEALTH INC
Riverside, CA17 hours ago $186.2k - $363.09k
...Participates in and maintains the integrity of the appeals process, both internally and externally.... ...for the plan including compliant clinical quality improvement activity (QIA) in... ...requiring concurrent review and manages the denial process. • Monitors appropriate care and...Work experience placementWork at officeLocal areaMolina Healthcare
Riverside, CA2 days ago$58.6k - $70.71k
...Referral Clinical Coordinator Join Us in Transforming Lives Every Day At OneLegacy, every moment counts. As the nation's largest organ, eye, and tissue recovery organization, we are dedicated to saving lives and sharing hope. Guided by our values of integrity, compassion...Full timeWork experience placementWork at officeShift workNight shift$125k - $155k
...Philips Iberica SAU in San Bernardino is looking for a Sales Support, Clinical Applications Consultant specializing in Cardiovascular Ultrasound. This role involves collaborating with Account Managers, executing sales strategies, and providing product support to achieve...Philips Iberica SAU
San Bernardino, CA1 day ago- ...Medicine and Public Health Practice, School of Public Health. This role involves leading community health initiatives and managing clinical procedures. The ideal candidate will hold a Master’s in Nursing or Public Health and possess considerable experience in public...
HKU Careers
Loma Linda, CA1 day ago $51.88 - $77.82 per hour
...Clinical Nurse Coordinator Labor and Delivery 1 week ago Be among the first 25 applicants Hourly Wage Estimate: $51.88 - $77.82 / hour Learn More About The benefits Offered For This Job. The estimate displayed represents the typical wage range of candidates hired. Factors...Hourly payFull timeTemporary workPart timeFlexible hoursShift workRiverside Community Hospital
Riverside, CA17 hours ago- ...A leading healthcare provider in Riverside, California, is seeking a Clinical Nurse Coordinator for Labor and Delivery. This role emphasizes patient-centered care and collaboration among staff, ensuring high-quality service during shifts. The ideal candidate will have...Shift work
Riverside Community Hospital
Riverside, CA17 hours ago $16 - $23 per hour
...Provide patient care, treatment, and service in a continuous and coordinate manner in settings appropriate to meet patient needs Promote... ...One year experience in home health care, hospital, clinic, or nursing home strongly preferred Experience/Education in...Hourly payLincare Holdings
Redlands, CA1 day ago$20 - $21 per hour
...Job Description Job Description Pridestaff is currently seeking a Customer Care Coordinator for a call center located in San Bernardino, CA. This is temporary position lasting about 3 to 4 months with the possibility of being extended. Please see job requirements...Temporary workWork at officeMonday to FridayWeekend workAfternoon shiftPrideStaff - Ontario, CA
San Bernardino, CA5 days ago$16 - $23 per hour
...related feeding supplies to patients\' home or place of business Provide patient care, treatment, and service in a continuous and coordinate manner in settings appropriate to meet patient needs Promote safe, effective patient and organizational environments, as well as...Hourly pay- ...Marsell Wellness Center seeks a Lead Medical Coordinator in Riverside, CA. The role requires overseeing medical care for children, ensuring compliance with health standards, and coordinating with medical providers. Candidates should have a Bachelor’s degree in Nursing...
MarSell Wellness Center
Riverside, CA17 hours ago $75k - $95k
...follow-up and evaluating patient adherence to physician orders. The role includes patient education, assessments, documentation, and coordination of enteral care supplies and services in the patient’s home or relevant setting. Job Responsibilities Provides patient...Full time$90k - $97.25k
...Lead Medical Coordinator Full Time Riverside, CA, US 30+ days ago Requisition ID: 1276 Salary Range: $90,000.00 To $97,250.00 Annually... ...experience in care coordination, health administration, or direct clinical care. AND Any of the following: Licensed Registered Nurse (RN)...Full timeWork experience placementFlexible hoursMarSell Wellness Center
Riverside, CA17 hours ago$136.46k - $151.62k
Logistics at full potential. At GXO, we’re constantly looking for talented individuals at all levels who can deliver the caliber of service our company requires. You know that a positive work environment creates happy employees, which boosts productivity and...Local areaAll shiftsShift workGXO Logistics
Bloomington, CA16 hours ago$105.62k - $145.52k
...Bernardino County Department of Behavioral Health invites qualified professionals to apply for the position of Behavioral Health Clinic Supervisor* . Behavioral Health Clinic Supervisors* supervise a staff of therapists, service providers, and support personnel and direct...Permanent employmentFull timeSecond jobWork at officeVisa sponsorshipShift workWeekend workAfternoon shiftCounty of San Bernardino, CA
San Bernardino, CA5 days ago$214.13k - $417.56k
...as needed. • Conducts peer review processes. Required Qualifications • At least 8 years of relevant experience, including clinical practice experience, and at least 2 years as a medical director in managed care setting supporting utilization management/quality...Work experience placementWork at officeLocal areaMolina Healthcare
San Bernardino, CA1 day ago$209.39k - $298.6k
Salary: $209,393.60 - $298,604.80 Annually Location : San Bernardino, CA Job Type: Full-time Job Number: 26-04300-01 Department: Department of Behavioral Health Opening Date: 04/08/2026 Closing Date: Continuous The Job Please use ...Full timeWork at officeCounty of San Bernardino, CA
San Bernardino, CA4 days ago- ...Lutheran Social Services of Southern California is hiring a Clinical Supervisor in San Bernardino. This role requires a Master’s degree in a related field and active licensure as LMFT, LPCC, or LCSW. Responsibilities include providing clinical leadership in behavioral...
Lutheran Social Services of Southern California
San Bernardino, CA17 hours ago $25 - $35 per hour
...Job Description Job Description The Clinical Supervisor is responsible for overseeing the implementation of behavior intervention services, supporting Behavior Technicians (BTs), and ensuring high-quality clinical care under the supervision of a Board Certified Behavior...Hourly payNew Behavior Transitions
San Bernardino, CA22 days ago- ...complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Clinical Director Contract Colton, CA, US 2 days ago Requisition ID: 1086 Clinical Director Department: View Behavioral Health, Colton...Contract workLocal areaShift workWeekend workAfternoon shift
Ovphf
Colton, CA16 hours ago - ...Position Summary The Clinical Supervisor provides clinical and programmatic leadership for assigned behavioral health programs in San... ...key liaison to DBH and community partners, supporting system coordination, contract performance, and expansion of services in rural communities...Contract work
Lutheran Social Services of Southern California
San Bernardino, CA17 hours ago $320k
...Physician Clinic Medical Director Anyplace MD is seeking experienced physicians for full-time leadership roles at outpatient clinics across California. As a Physician Clinic Medical Director, you'll focus on providing exceptional patient care while also leading quality...Full timeRelocation packageMonday to FridayNight shiftAnyPlace MD
Colton, CA3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Appeals Coordinator - Denials & Retro Auth. Be the first to apply!
Related searches
- clinical data coordinator remote San Bernardino, CA
- medical affairs coordinator
- clinical coordinator registered nurse
- clinical nurse coordinator
- clinical audit coordinator
- clinical simulation coordinator
- clinical operations coordinator
- medical office coordinator
- medical coordinator
- clinical trial coordinator