Average salary: $81,824 /yearly
More stats- ...and Wellmark is working to help change it for the better. We recognize that our members deserve health care with a focus on quality. We also recognize that Clinical, Registered Nurse, Consultant, Nurse, Registered, Appeals, Healthcare WELLMARK BLUE CROSS & BLUE SHIELDSuggested
- ...everything for our 28 million members as a clinical professional on our Medical Management/... ...reviews needed to resolve and process appeals by reviewing medical records and clinical... ...Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 -...SuggestedHourly payHoliday workRemote jobFlexible hours
$43 per hour
...Job Description: The Clinical Appeals Specialist completes research, basic analysis, and evaluation of member and provider disputes regarding... ..., interprets, analyzes and prioritizes appeal requests using nursing expert knowledge and all available clinical information for...SuggestedImmediate start- ...Job Description Job Description Health Advocates is seeking a Part Time Clinical Appeals Nurse for our main office in Chatsworth, CA. Job Summary Reviews medical records and performs clinical reviews to overturn insurance claim clinical denials. Job responsibilities...SuggestedHourly payHoliday workPart time
Health Advocates
Los Angeles, CA15 days ago - ...Diversified Revenue Cycle Healthcare company located in Franklin Square, NY is looking for full-time hybrid and per diem experienced Clinical Appeal Nurses for writing clinical appeals for our large clients. The Clinical Appeal Nurse’s role includes conducting a comprehensive...SuggestedFull timeHome office
- ...for the management and communication of denials/appeals received from third party payers, managed care companies... ...will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse will review each case identified/referred for appeal...SuggestedFor contractorsRelief
$21 - $38.5 per hour
...healing across our broad footprint. Facility: Detroit Lakes Clinic Location: Detroit Lakes, MN Address: Detroit Lakes,... ...LPN Wage: $21.00 - 29.50 Job Summary The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment...SuggestedHoliday workFull timePart timeWork experience placementShift workDay shiftSanford Health
Detroit Lakes, MN3 days ago- ...general supervision of the Director of Revenue Cycle, the Clinical Denials and Appeals Specialist performs advanced level work related to Clinical... ...as well. Minimum Education ~ Bachelor's Degree in Nursing or in another Clinical Practice field preferred but not required...SuggestedFull timeWork experience placement
Murray-Calloway County Public Hospital C
Murray, KY9 days ago - ...Job Description Job Description Hybrid Clinical Denials Appeals Analyst Opportunity to join one of Maryland’s most renowned and established healthcare systems. This organization is committed to excellence in patient care and offers an inclusive work environment...SuggestedTemporary workWork from homeHome officeMonday to Friday
TEKsystems
Annapolis, MD9 days ago - ...Summary: The Clinical Appeals Specialist reports to the Manager Appeals.Under general supervision and within Lifespan policies and procedures... .... Other information: Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursingorlicensure...SuggestedFull timePart timeFor contractorsSelf employmentRemote jobShift work
- ...Description Introduction Do you have the career opportunities as a(an) Clinical Nurse Coordinator MedSurg you want with your current employer? We have an exciting opportunity for you to join Research Medical Center which is part of the nation's leading provider...SuggestedHourly payFull timeTemporary workPart timeFlexible hoursShift work
Research Medical Center
Kansas City, MO2 days ago - ...Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Clinical Nurse Coordinator MedSurg opening with Chippenham Hospital today and find out what it truly means to be a part of the HCA Healthcare...SuggestedHourly payFull timeTemporary workPart timeFlexible hoursShift work
Chippenham Hospital
Mechanicsville, VA1 day ago $71.6k - $140.6k
...part of the Optum family of businesses, is seeking a Registered Nurse to join our team in San Antonio, TX. Optum is a clinician-led... ...healthcare better for everyone. At Optum, you’ll have the clinical resources, data and support of a global organization behind you...SuggestedMinimum wageFull timeWork experience placementLocal areaOptum
Gonzales, TX2 days ago$71.6k - $140.6k
...Program at Optum WA as a field assessor and subject matter expert on clinical compliance and regulatory standards. Conducts regular... ...Required Qualifications: ~ Graduate of an accredited school of nursing ~ Valid Washington State DOH Registered Nurse license ~2+ years...SuggestedMinimum wageFull timeWork experience placementLocal areaOptum
Seattle, WA2 days ago- ...equity on a global scale. Join us to start **Caring. Connecting. Growing together.** The primary role of the Home Infusion Nurse is to provide clinical care and education to home-based patients receiving a wide range of parenteral medications dispensed from Optum Infusion...SuggestedHourly payMinimum wageFull timeWork experience placementLocal areaHome officeFlexible hours
Optum
Oak View, CA12 hours ago - ...resolution. * Participates in the Internal Appeal Process. * Responsible for overall... ...for performing telephonic or face-to-face clinical assessments for the identification, evaluation... ...: * Certification as a Managed Care Nurse (CMCN) preferred. * MA/MS in Health/Nursing...Holiday workContract workTemporary workLocal areaRemote job
Elevance Health
Grand Prairie, TX2 days ago - **Description** _Summary:_ The Registered Nurse Clinical Care Coordinator is responsible for establishing, coordinating, and maintaining the process to increase patient throughput to the most appropriate level of care while facilitating interdisciplinary care across...Full timeWeekend workDay shift
Christus Health
Texarkana, TX1 day ago - ...Angeles, CA Case Manager (CM) - Full Time (on-site) Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) Pay Rate: $50 - $58.65 depends on... ...of continued stay rationale, length of stays, and appeals process. Initiates activities to develop positive business...Full timeTemporary workRelocation
- ...excellent care patients deserve? At Methodist Hospital we support our colleagues in their positions. Join our Team as a Registered Nurse Lung Clinic Coordinator and access programs to assist with every stage of your career. Benefits Methodist Hospital, offers a total...Full timeTemporary workPart timeFlexible hours
Methodist Hospital
New Braunfels, TX1 day ago - ...collaboration with the department manager, coordinate the pacemaker clinic, to include patient care in the ambulatory care setting, during... ...Laboratory. **Experience:** 1 to 3 years cardiacCritical Care nursing experience required. Cath lab or EPS lab experience preferred....Full time
Deborah Heart and Lung Center
Riverside, MD12 hours ago - WellMed, part of the Optum family of businesses, is seeking a Clinic Healthcare Coordinator, LVN or LPN to join our team in Fort Worth,... ...collaborate with multidisciplinary care teams, which include physicians, nurses, pharmacists, laboratory technologists, social workers, and...Contract work
Optum
Fort Worth, TX3 days ago - ...Clinical Nurse II, RN MedSurg Day Shift - Relocation Offered! at MEDSTAR HEALTH summary: The Clinical Nurse II is a professional caregiver responsible for assessing, planning, implementing, and evaluating the nursing care of patients throughout their hospital stay....Full timeRelocationDay shift
MEDSTAR HEALTH
Leonardtown, MD3 days ago - ...Job Description North Mississippi Health Services is seeking a Registered Nurse (RN) Clinic Nurse Resident for a nursing job in Tupelo, Mississippi. Job Description & Requirements Specialty: Nurse Resident Discipline: RN Duration: Ongoing Employment...Hourly pay
North Mississippi Health Services
Tupelo, MS4 days ago - ...Job Description Description JOB SUMMARY Manages the nursing services and staff for a department; ensures quality and full compliance... ...” to problem solve and personally reflect on decisions Clinical Performance Improvement • Shares experiences with process...Full timeImmediate start
CHRISTUS Health
Texarkana, TX16 days ago - ...! Would you like to be part of remarkable Compass Health Nursing team with great benefits? An Outpatient Nursing position will interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass...Holiday workFull timeRelocation bonusMonday to Friday
- Are you an experienced nurse who wants to remain clinically involved in patient care without being a bedside nurse? Are you organized, efficient, and able to manage your own work with autonomy? MDS nursing at The Laurels of Steubenville may be just what youre looking for...Holiday workFull time
The Laurels of Steubenville
Steubenville, OH6 hours ago - ...Employment Type: Full time Shift: Day Shift Description: Reporting to the Manager Clinical Education, Development & Support Services, the Nursing Professional Development Practitioner (NPDP)s practice is to support the provision of quality health care practice...Full timeShift workDay shift
Saint Agnes Medical Center Careers
Fresno, CA5 days ago - The Appeals Nurse Consultant position is responsible for processing the medical necessity of Medicare appeals for participating providers... ...duties may include, but are not limited to: Requesting clinical, research, extrapolating pertinent clin Appeals, Nurse, Consultant...Remote job
- Responsible for the review and resolution of clinical appeals. Reviews documentation and interprets data obtained from clinical records toapply... ...regulatory and accreditation requirements for memb Appeals, Nurse, Consultant, Remote, Behavioral Health, Technology, Retail,...Remote job
$29.5 - $44.5 per hour
...healing across our broad footprint. Facility: 34th & Kiwanis Clinic Location: Sioux Falls, SD Address: 2701 S Kiwanis... ...come in. Qualifications Graduate from an accredited nursing program preferred, including, but not limited to, American...Full timePart timeShift workSanford Health
Sioux Falls, SD4 days ago
