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Clinical Appeal jobs

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AR CLINICAL APPEALS NURSE - HYBRID

Ensures clinical interventions are appropriate for the admitting diagnosis and reflects the standard of care as defined by the medical staff and health system. Utilizes clinical knowledge and defined standards of care to proactive...

CompanyUofl Health
AddressLouisville, KY
CategoryInformation Technology
Job typeOther
Date Posted 4 days ago See detail

AR Clinical Appeals Nurse - Hybrid

Uofl Health

Louisville, KY

Ensures clinical interventions are appropriate for the admitting diagnosis and reflects the standard of care as defined by the medical staff and health system. Utilizes clinical knowledge and defined standards of care to proactive...

4 days ago seen See more...

Clinical Appeals Nurse

Caresource

Remote

$60,300 - $96,500 a year

Responsible for the completion of Clinical Appeals and state hearings from all states Review and complete all provider Clinical Appeals within required timeframes Review and complete member Clinical Appeals within required timefra...

3 weeks ago seen See more...

Clinical Appeals Nurse (Remote)

Carefirst Bluecross Blueshield

Owings Mills, MD

$65,808 - $130,702 a year

Investigates, interprets, and analyzes written appeals and reconsideration requests from multiple sources including applicants, subscribers, attorneys, group administrators, internal stake holders and any other initiators. Respond...

4 weeks ago seen See more...

Clinical Appeals Registered Nurse

Managed Resources

Remote

$30 - $40 an hour

Write quality appeal letters to achieve maximum overturn rate. Ensure workload is completed in an efficient and timely manner. The Clinical Appeals Review Nurse will review the case, and determine the potential for a Provider Appe...

4 weeks ago seen See more...

Clinical Appeals Nurse RN

Parallon

Largo, FL

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

4 weeks ago seen See more...

Clinical Appeals Manager

Bierman Autism Centers

Remote

$72.4K - $91.7K a year

Competitive Compensation and Comprehensive Benefits: Enjoy a competitive salary and comprehensive benefits package, including Paid Time Off, 401k, health, dental, and vision insurance, and the option of Short and Long-Term disabil...

a month ago seen See more...

Clinical Appeals Specialist PD

Lifespan Corporation

Providence, RI

$87.1K - $110K a year

Bachelor's Degree in Nursing Health Scienceor Health Business required Master's Degree preferred.EXPERIENCE:Three years or more of relevantrecent clinical and/or administrative experience in medical/surgical nursing;two years of w...

a month ago seen See more...

Manager, Clinical Appeals

Blue Cross & Blue Shield Of Rhode Island

Providence, RI

$80,100 - $120,200 a year

Coordinate the workflow and operations of two units within the grievance and appeals department, commercial and Government Programs. Provide direction and guidance to staff. Review and evaluate work and prepare performance reviews...

2 months ago seen See more...

Remote Clinical Denials and Appeals Nurse

Aspirion Health Resources Llc

Remote

From $68,000 a year

Manages complex and robust queue according to Aspirion and client needs. Queue size varies weekly. Reviews insurance denials, including but not limited to, medical necessity denials, patient status denials (i.e., Inpatient vs. Out...

3 weeks ago seen See more...

Clinical Reviewer, Grievance & Appeals - Remote

Connecticare

New York, NY

$63,000 - $110,000 a year

Prepare and present clinical summations/recommendations to the Medical Director or Pharmacist, or Independent Review Organization in accordance with state and federal regulations, NCQA requirements, and internal policy for final c...

3 weeks ago seen See more...

Vice President Clinical Service - Utilization Management & Appeals

Cambia Health Solutions

Renton, WA

Provides leadership in developing, implementing, and communicating short and long-range plans, goals and objectives for the function. Aligns team goals with the organization's vision and strategy. Develops strategies and tactics t...

a month ago seen See more...

Vice President Clinical Service - Utilization Management & Appeals

Cambia Health

Boise, ID

Provides leadership in developing, implementing, and communicating short and long-range plans, goals and objectives for the function. Aligns team goals with the organization's vision and strategy. Develops strategies and tactics t...

a month ago seen See more...

RN Clinical Denials Appeals

Children's Hospital Colorado

Aurora, CO

$78,659.24 - $117,988.86 a year

Uses nationally recognized evidence-based utilization review criteria and reviews medical records to develop clinical appeal letters with supporting documentation. Assesses the appropriateness of clinical appeal requests by using...

2 months ago seen See more...

What should I search to find Clinical Appeal jobs?

People who searched for Clinical Appeal jobs also searched for Clinical Lab Scientist, Clinical Team Lead, Clinical Lab, Clinical Nurse Manager, Pediatrics Clinic, Clinical Manager Home Health, Clinical Documentation Integrity Specialist, Associate Clinical, Clinical Sales, Clinical Quality, Clinical Education Manager, Senior Clinical Research Associate, Clinical Research Director, Clinical Documentation Integrity, Clinical Pharmacy Manager, . If you're getting few results, try a more general search term. If you're getting irrelevant result, try a more narrow and specific term.

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What are the top cities open Clinical Appeal jobs?

There are open Clinical Appeal jobs in several cities including Dallas, Columbia, Southfield, Clinton, Newark, Philadelphia, Phoenix, Brentwood, Minnetonka, San Antonio, Altamonte Springs, Saint Petersburg, Nashville, Winston-Salem, Tacoma,

What companies are hiring for Clinical Appeal jobs?

The top companies hiring now for Clinical Appeal jobs are Advantasure, Inc., Managed Resources, Inc., Managed Resources, Inc (MRI) - 3.5, UnitedHealth Group, UnitedHealthcare,

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