...Job Summary:
The Clinical Appeals Nurse is responsible for the completion of clinical appeals and state hearings from all states.
Essential Functions:
Responsible for the completion of clinical appeals and state hearings from all states
Review and complete...
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Remote job
Full time
...GENERAL OVERVIEW:
This job is responsible for all aspects of clinical appeal activities to include but not limited to, clinical record... ...QUALIFICATIONS:
Minimum
High School/GED
3 years in Nursing
RN License - PA
Proficiency in Microsoft Office (Word,...
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Full time
Local area
...Job Title: Appeals Specialist
Typical Schedule/Shift: Monday - Friday, 7:30 AM - 4 PM or 8 AM - 4:30 PM
Summary:
As an Appeals Specialist, you play a critical role in reviewing and resolving member and provider complaints. Your responsibility includes ensuring...
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Shift work
Monday to Friday
About The Role
If you have knowledge of the NHS Continuing Healthcare National Framework and the appeals process, then we’d love to hear from you.
As an NHS Continuing Healthcare Volunteer, you’ll use your knowledge of the framework to support people affected by dementia...
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...clearing barriers to payment
Manage claim details and verify accurate reimbursement, so as to initiate account adjustments and/or appeals on payment disputes
File appeals for denied claims and follow-up as necessary through appeal resolution
Manage and maintain...
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Full time
...Job Summary:
The Team Lead, Grievance and Appeal Vendor Oversight is the primary contact person for vendors that are utilized with the Grievance and Appeal workflows. Responsibilities include invoice management and reconciliation, ensuring the vendor has the appropriate...
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Full time
Contract work
For contractors
$2,344 per week
...Job Description
We are seeking a Clinic Nurse Practitioner for an assignment in Remote Nevada.
Our clinic partners provide direct patient care in an outpatient setting
At TotalMed, our aim is to be the last company you ever work with. We prove it, too, with...
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...information, please visit and follow @JazzPharma on Twitter.
Brief Description:
The Executive Director, Late Stage Oncology Clinical Operations will lead a team of clinical operations professionals charged with the execution and delivery of our Oncology Phase 1 -...
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Flexible hours
Job Description:
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing...
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Immediate start
...Job Summary
The UT Southwestern Clinical Informatics Center is the leader in developing, implementing, and evaluating effective Clinical... ...initiatives
~ Experience with Epic Optime, perioperative nursing, labor and delivery nursing, or newborn nursing preferred ....
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...Supervisor, Oncology Nursing – Transplant Cellular Therapy Infusion Clinic
Simmons Cancer Center
Why UT Southwestern?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion....
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...Registered Nurse – BMT-Cellular Therapy Clinic
Simmons Comprehensive Cancer Center
Why UT Southwestern?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned...
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Full time
...patients in nearly 75 countries. For more information, please visit and follow @JazzPharma on Twitter.
Brief Description:
The Clinical Development Lead, Oncology, BTC (Biliary Tract Cancer) and GEA (Gastroesophageal Adenocarcinoma) will lead the late-stage...
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Flexible hours
...Job Title: Clinical Review Nurse
Location: Remote in Arizona (AZ) State Only
Duration: 3 months (Possible Extension)
Pay Rate: XX35.00 Per hr.
Shift Timing: 8AM-5PM Monday - Friday
Job Summary
Responsibilities:
Promote the quality and...
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Shift work
Monday to Friday
...Remote Licensed Clinical Psychologist
Wage: Between $95-$174 an hour
Are you a Licensed Clinical Psychologist looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance!
Headway supports thousands...
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Private practice
Remote job
Work from home
Flexible hours
...Nursing Professional Development Practitioner – Clinical Education Full Time
Why UT Southwestern? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical...
Full time
...by U.S. News & World Report.
We have a new part time REMOTE clinic RN position (0.8 fte) 32 hours per week available with our... ...other technological means. This professional telehealth registered nurse assesses/analyzes patient needs, identifies expected outcomes, collaborates...
Remote job
Part time
Relocation bonus
...Clinical Informaticist
Remote Opportunity
JOB SUMMARY:
Skilled nurse informaticist to work with machine learning, NLP, generative AI modeling, research and development. The ideal candidate will engage with AI engineers, data scientists, and clinical product...
Remote job
Full time
Work experience placement
Local area
...Physician Assistant program. OR
Master’s degree or higher in nursing, documentation of completion of accredited Advanced Practice... ...related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population.
Licensure and...
...Position: Clinical Informatics Specialist
Location: Virginia/Remote
Duration: 1 Years
Phone & Skype
Client: HCL... ...Training and Support:
o Train end-users (clinicians, nurses, etc.) on technology systems and applications.
o...
Immediate start
Remote job
Relocation
...helping patients manage chronic diseases through technology and a clinical service model. Our vision is to make the world healthier by... ...spending all your time 'charting', this is the job for you.
Nurses will work from home. The primary responsibilities include:
Review...
Remote job
Full time
...quality consultant and subject matter expert, performing testing and validation of the mapping of data elements to standards -Tests clinical content to ensure the appropriate data modeling, vocabulary, terminology and code-set standard for representing and harmonizing...
JOB DESCRIPTION
Job Title
Clinical Specialist
Job Description
Clinical Consultant
Positively impact patient care... ...with clinical sponsors, which may include, clinical educators, nurse managers, department heads and executives.
Support pre/post...
Remote job
Work visa
...use the video response FAQ page ( for troubleshooting ideas.
What You'll Do
As the Clinical Placement Administrator, you will work with graduate and post-graduate nursing students across multiple school partners and degrees. You will assist the clinical placement...
Remote job
Contract work
...working directly with self-insured employers to reduce costs for them and their employees.
JOB SUMMARY:
We are looking for a Clinical Pharmacist who is passionate about using their pharmaceutical knowledge to support our mission of reducing healthcare costs. In...
Remote job
Contract work
Part time
Flexible hours
...Delivery, Collaboration, Partnership and Integrity. We want to be the Clinical Research Organization that delivers excellence to our clients... ...and administration procedures as necessary.
To assist nursing staff in the insertion of intravenous cannulae for venous access...
Remote job
Permanent employment
Full time
Summary
Remote Role
The SSO Clinical Project Manager (CPM) is accountable for the day-to-day planning, executing and reporting, (from first site initiation visit to and including study site close-out), of assigned Global Drug Development (GDD) studies in compliance...
Contract work
Local area
Remote job
Relocation
Relocation bonus
$19 - $21 per hour
...ll see firsthand the impact you have on our members, knowing you can make a true difference in their lives.
Job Summary
The Clinical Support Coordinator (CSC) provides administrative support for the Clinical Operations Organization and a critical part of the team...
Hourly pay
Full time
Contract work
Remote job
Home office
Night shift
...Education Assistant Clinical Education Full Time Days
Why UT Southwestern? With over 75 years of excellence in Dallas-Fort Worth, Texas... ...the hospital and campus. Coordinates support for department or nursing administration. Handles confidential and non-routine...
Full time
Temporary work
...Assistant Manager Clinical Education Full Time Days
Why UT Southwestern? With over 75 years of excellence in Dallas-Fort Worth, Texas... ...Uses and/or develops tools, theories, skills and knowledge of Nursing Professional Development (NPD) to improve the practice of the nursing...
Full time
Immediate start