Medical Services Nurse (RN)
LE12 MVP Service Corp.
LE12 MVP Service Corp. is seeking a Clinical Appeals RN to evaluate denied service authorizations and claims while ensuring compliance with medical policies. This position requires a strong clinical background and the ability to work within a team and independently.
The ideal candidate will have an active RN license, experience in clinical appeals, and exceptional customer service skills. The role offers a hybrid work arrangement and opportunities for career growth within a people-centric culture.
#J-18808-Ljbffr LE12 MVP Service Corp.
- ...MVP Health Care is seeking a Clinical Appeals RN to ensure fair and timely review of healthcare service... ...denials. This role involves analyzing medical records and clinical documentation and... ...of experience. The position offers a hybrid work environment and competitive...MedicalRemote work
$69.38k - $92.28k
## Clinical Appeals RNApplyremote type: Onsitelocations... ...**Join Us in Shaping the Future of... ...Appeals RN, you play a... ...by analyzing medical records and clinical... ...medical necessity with a balanced... ...support informed decision-making and... ...:** Location: hybrid**Pay Transparency...Medical$69.38k - $92.28k
Overview As a Clinical Appeals RN, you will review denied service authorizations... ...and claims, evaluate medical necessity, and work closely with Medical... ...experiences Opportunity to shape the future of health care... ...& Work Arrangement Hybrid - work performed in a combination...MedicalWork at officeRemote work$69.38k - $92.28k
...Join Us in Shaping the Future of Health Care... ...Concurrent Review RN, you'll have the opportunity... ...in a hybrid setting while partnering... ...providers and clinical leadership. You'll... ...complex clinical decision-making, healthcare... ...Reviews inpatient medical records against established...MedicalContract workRemote work- ...Clinic Manager STG International (STGi) is currently seeking a Clinic... ...and coordinate care with the Medical Center and stakeholders. The... ...professional team player. Current RN state license preferred. Must... ...Action Employer, making decisions without regard to race, color,...MedicalContract workFor subcontractorWork at officeLocal area
$100k
...truly understand the journey. Comprehensive care, fully covered: Medical care, health insurance, legal representation, and emotional... ...align with yours. Medical Preparation Work with a top fertility clinic for embryo transfer; all medical costs are covered. Pregnancy &...MedicalStart working today$30.58 - $55.09 per hour
...our 28 million members as a clinical professional on our Medical Management/Health Services... ...to determine medical necessity of service and appropriate... ...state plan and requires NY RN Licensure. Pay Range $30.... ...approach to work with remote, hybrid, field or office work...MedicalRemote jobHourly payFull timePart timeWork at officeFlexible hours- MVP Health Care is searching for a Prospective Review RN to join their remote team. This role involves evaluating medical requests and collaborating with healthcare providers to assess treatment plans per clinical guidelines. The ideal candidate holds a current RN license...MedicalRemote job
- STG International, Inc. is looking for a Clinic Manager in Schenectady, NY. The role involves managing daily clinic operations, ensuring... .... The position offers a competitive benefits package including medical, dental, vision, and 401k options. #J-18808-Ljbffr STG...Medical
- ...of America) Salary Range: The clinical Nurse contributes to the... ...physician orders, administers medications, starts IVs, performs treatments... ...judgment in patient care management decisions. Provides primary and... ...3 years of previous clinical RN experience in Med‑Surg or Progressive...MedicalLocal areaShift work
$51.4k - $68.35k
...Join Us in Shaping the Future of Health Care At MVP Health... ...the Opportunity As an Appeals Specialist at MVP... ...upholding the integrity of the decision‑making process,... ...process improvement Location Hybrid Pay Range $51,395.00 -... ...condition, medical condition, pregnancy status...MedicalWork at office$45 per hour
...enthusiastic and hard-working Registered Nurses (RN) to work full-time on the night shift in the Medical Department located in the Capital District. The... ...a Registered Nurse in the state of New York. Clinical decision-making ability is required and critical to have...MedicalHourly payFull timePart timeRelocation packageShift workNight shift- ...we match you with cases nearest you ~ Medical, Dental, and Vision benefits ~ Company... ...pediatric Simulation labs ~24/7 on call clinical support ~ Electronic charting using... ...Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis...MedicalWeekly payFull timePart timeReliefWork at officeLocal areaFlexible hoursShift workNight shiftDay shift
$29 - $50 per hour
...Major holidays off! • No prior RN dialysis experience required;... ...entry level designation into the Clinical Advancement Program (CAP).... ...this position participates in decision-making, teaching, leadership functions... ...and documents in the patient medical record, makes adjustments or...MedicalHourly payWork experience placement$78.77k - $122.1k
...experience preferred. Experience in the field of Clinical Social Work or Nursing with experience... ..., research, education, and quality decisions; promoting a collaborative environment... .... Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity...MedicalMonday to FridayShift work$24 - $30.1 per hour
St. Peter's Health Partners is seeking a Licensed Practical Nurse (LPN) for the Rotterdam PACE Medical Clinic. The role focuses on providing skilled nursing care to older adults while performing duties such as administering medication and ensuring patients' comfort. Candidates...MedicalHourly payFull timeDay shift$24 - $30.1 per hour
Trinity Health is seeking a Licensed Practical Nurse (LPN) for the Rotterdam PACE Medical Clinic in Schenectady, New York. This full-time position offers a day shift with no nights or weekends and involves providing skilled nursing care to older adults. Candidates must...MedicalHourly payFull timeWeekend workDay shift$83.2k - $93.18k
Albany Medical Center is seeking a Clinical Nurse to join their Operating Room department in Schenectady, NY. This role involves providing comprehensive... ...an accredited nursing program, possess a current NYS RN license, and have at least 1-3 years of clinical experience...MedicalDay shift$2,000 per month
...Type Full-time Description Registered Nurse RN **Sign on Bonus Eligible** Conifer Park is looking for... ...on data obtained from all sources, while implementing clinical care, nursing and medical orders. May assume the duties of charge nurse on unit under...MedicalFull timeRelocation packageRotating shiftDay shift$2,124.35 per week
...: 310821 Position: Registered Nurse/RN Specialty/ Unit Type: Emergency Medicine... ...and Background check Benefits: ~ Medical, Dental, and Vision Insurance ~ Life... ...Bonus Program ~ Weekly Direct Deposit ~ Clinical Support About Us: RCM Health...MedicalWeekly payShift workNight shift- ...AN EXEMPTION HAS BEEN GRANTED. RELIGIOUS AND MEDICAL EXEMPTION FORMS ARE AVAILABLE BUT SUBJECT TO APPROVAL. Looking for ED RN for 13 week contract 11a-11p. Must have NYS license... ...evaluates outcomes. Maintains competence in clinical practice and assists in the development of...MedicalContract workTemporary workFor contractors
$41 - $58.08 per hour
...outcomes. Maintains competence in clinical practice and assists in the... ...observes care given by non-RN staff members. Evaluates patient... ...team, including the medical record. Organizes and communicates... ...expression, reproductive health decisions, domestic violence victim...MedicalHourly payLocal areaFlexible hoursNight shift$31 - $52 per hour
...professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for... ..., this position participates in decision‑making, teaching, leadership... ...and documents in the patient medical record, makes adjustments or modifications...MedicalHourly payWork experience placement$31 - $52 per hour
...Outpatient Registered Nurse - RN page is loaded## Outpatient Registered... ...level designation into the Clinical Advancement Program (CAP) for... ...this position participates in decision-making, teaching, leadership... ...and documents in the patient medical record, makes adjustments or...MedicalHourly payWork experience placementWorldwide$83.2k - $93.18k
...Implements physician orders, administers medications to the sterile field, and documents as... ...judgment in patient care management decisions. Directs and guides ancillary personnel... ...preferred. Minimum of 1-3 years of previous clinical RN experience preferred in the surgical...MedicalLocal areaShift workDay shift$29.44 - $44.16 per hour
...results. Maintains competence in clinical practice and assists in the... ...Responsibilities: • The RN will complete a patient/family... ...storage, handling and disposal of medical waste. • Appropriate... ...expression, reproductive health decisions, domestic violence victim status...MedicalHourly payLocal areaFlexible hours$130.15k - $151.84k
...Responsibilities: Perform inpatient rounds and contribute to clinical decision-making. Coordinate admissions and transfers to ensure... ...all patient encounters accurately and timely in the electronic medical record (EMR). Provide first or second assist in the operating...MedicalFull timeShift workWeekend work$138.96k - $162.12k
...Albany Medical Center is seeking a skilled and dedicated Physician Assistant (PA) to join... ...and therapies based on current clinical guidelines. Participate in the care of... ...emergency and inpatient assessments, triage decisions, and follow-ups. Educate patients and...MedicalFull timeTemporary workShift work$124.69k - $145.48k
Albany Medical Center is seeking a skilled and dedicated Physician Assistant (PA) to join... ...and therapies based on current clinical guidelines. Participate in the care of... ...emergency and inpatient assessments, triage decisions, and follow-ups. Educate patients and...MedicalFull timeShift work- ...serologic results to support transfusion decisions Prepare, label, and issue blood products... ...with laboratory staff and clinical teams to ensure timely patient care Qualifications... ...degree in Clinical Laboratory Science, Medical Technology, or related scientific discipline...MedicalPermanent employmentFull timeDay shift
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