Search Results: 5,172 vacancies
...company-wide events, professional development (LOMA testing) and a company-wide wellness program.
Scope and Purpose:
The Claims Appeals Specialist is responsible for ensuring professional and compliant processing of all appeals, predetermination requests, consumer...
Suggested
Immediate start
Flexible hours
...ICD coding. Responsible for analyzing, researching, and managing appeal/grievance inventories from members and providers. Respond to... ...communicate with multiple levels in the organization (e.g. managers, clinical, and support staff).
Excellent organizational skills...
Suggested
Full time
Contract work
Work experience placement
...Description
Job Title: Appeals & Grievances Coordinator
Department: Appeals and Grievances
Supervisor: Manager, Appeals & Grievances
FLSA Status: Nonexempt
Summary
The Appeals and Grievances coordinator position is focused on the processing of customer...
Suggested
Remote job
...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...
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For contractors
Relief
...Job Description
Job Description Far Rockaway Center is hiring a Registered Nurse (RN) Supervisor in Far Rockaway, NY.
Duties:
Complete resident care requirements by scheduling and assigning nursing staff
Establish a compassionate environment by providing support...
Suggested
...coverage determinations (LCD’s) for claim resolution.
Review and attach appropriate documentation to resolve denied claims and submit appeals.
Call payers to determine the true reason for denial and inquire on what corrections need to be made.
Follow-up with payers...
Suggested
Hourly pay
Holiday work
Full time
Contract work
Temporary work
Local area
Immediate start
Monday to Friday
...Utilization Management Clinical Registered Nurse (RN)
Job Summary
We are searching for a Utilization Management Clinical RN -- someone who... ...designee
* Works closely with UM Analyst staff to expedite appeals and complaint process by coordination of concurrent activity...
Suggested
Local area
...Don’t just work, thrive! Thrive SPC, a national provider of Pediatric Private Duty Nursing, is seeking an Area Clinical Director RN to join our team in Houston. We seek a dynamic Clinical Leader who is passionate about improving the lives of the children in the communities...
Suggested
Local area
...of value-based care and discover the meaning behind.
The Nurse Intern Program is full-time, 40 hours per week for 10 weeks starting... ...Responsibilities:
As a Nurse Intern with the Enterprise Clinical Services team, you will work under the supervision of...
Suggested
Full time
Internship
Summer internship
...change in our communities
About the Position The Registered Nurse at Legacy Community Health will be responsible for assisting in... ...delivery of health care and patient care management in an outpatient clinic setting.This will include perform selected nursing and...
Suggested
Holiday work
...Introduction
Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients.... ...us apart from any other healthcare provider. We are seeking a Clinical Nurse Coordinator to join our healthcare family.
Benefits...
Suggested
Hourly pay
Full time
Temporary work
Part time
Flexible hours
Shift work
...Clinical Supervisor - Registered Nurse (Rn)
Requisition #:193452
Location:Houston, TX 77081
Category:Nursing
Salary:Starting at $65,000 per year
Position Details
Clinical Case Manager (RN)
(Clinical Supervisor)
This leadership opportunity involves managing a caseload...
Suggested
Holiday work
For contractors
Relief
Local area
Monday to Friday
...Job Description Far Rockaway Center is hiring a Registered Nurse (RN) Unit Manager in Far Rockaway, NY.
Now Offering a $2,500... ...policies and procedures
Mentor less experienced nurses, offering clinical & career advice
Maintain the standards of care for the unit...
Suggested
Relocation bonus
...Registered Nurse - TC Outpatient Otolaryngology Clinic
Job Summary
We are searching for a Registered Nurse (RN) with our Outpatient Otolaryngology Clinic- someone who works well in a fast-paced setting. In this position, you'll provide direct and telephone nursing...
Suggested
Local area
...accessibility, integrity, and quality care are what is most important. We put a lot of emphasis on the thought that—in order for our clinical team to be accessible to clients—we must fully support our clinicians by allowing them to do what they are trained to do. We...
Suggested
Part time
Private practice
Relocation bonus
...Job Description
Job Description Elevate the health of our community About the Position A Clinical Resource Nurse will assess, plan, develop, implement, and evaluate education activities, competency validation, clinical care, programs, and initiatives for healthcare...
Holiday work
Temporary work
Relief
Flexible hours
Shift work
Night shift
Weekend work
Afternoon shift
...Trauma Center in the Coastal Bend, staffed with physicians and nurses specially trained in emergency services.
The Pavilion and the... ...’s Degree or higher in a chemical, physical, biological or clinical laboratory science or medical technology from an accredited institution...
Full time
Relocation
...Trauma Center in the Coastal Bend, staffed with physicians and nurses specially trained in emergency services.
The Pavilion and the... ...and dispensing of medications. Performs duties in the clinical areas assigned such as but not limited to anticoagulation clinics...
Full time
Relocation
...Job Summary
We are searching for a Clinical Nurse Coordinator - Fetal Center - someone who works well in a fast-paced setting. In this position, you will manage daily clinical and personnel activities for the assigned department. You will participate and coordinate...
...Dialysis Clinical Manager Registered Nurse - RN
PURPOSE AND SCOPE:
Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision...
Full time
Temporary work
Local area
Immediate start
