Remote Clinical Appeal jobs
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AUDITOR, CLINICAL SERVICES - UM (REMOTE IN TX) - NOW HIRING
Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM). Monitors key cl...
| Company | Molina Healthcare |
|---|---|
| Address | Houston, TX |
| Category | Accounting/Finance |
| Salary | $23.76 - $51.49 per hour |
| Job type | Full-time, Part-time |
| Date Posted | just now See detail |
Auditor, Clinical Services - UM (Remote in TX) - Now Hiring New
Molina Healthcare
Houston, TX
$23.76 - $51.49 per hour
Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM). Monitors key cl...
just now seen See more...
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Senior Clinical Trial Manager (Remote) - 24-108 New
Elevar Therapeutics, Inc
United States
$165,000 - $185,000 a year
Collaborate with the operational project team members and Finance stakeholders to oversee clinical study vendor(s) to ensure compliance with the contracted study specifications (i.e., timelines, deliverables) Lead the Clinical Ope...
2 hours ago seen
Clinical Appeals Nurse (RN) TEXAS and NEW MEXICO - Now Hiring
Molina Healthcare
Houston, TX
The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals request has been made or upon request by another Molina department to reduce the likelihood of a formal appeal...
7 days ago seen See more...
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Clinical Nurse Navigator-Days (Not Remote)
University Hospitals
Ohio, United States
DescriptionProvides virtual clinical care to patients within the recognized scope of practice for the profession and professional licensure requirementsProvides clinical triage and clinical support using established protocols duri...
3 days ago seen See more...
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Registered Nurse Clinical Denials & Appeals Reviewer
Administrative Regional Training Cntr
Buffalo, NY
$36.19 - $54.29 an hour
Registered Nurse with a current New York State license Bachelor of Science Nursing degree Holds, or will obtain within one (1) year of hire, one of the following (or similar) credentials: Certified Documentation Specialist, Certif...
5 days ago seen See more...
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Product Surveillance Clinical MDR Specialist II (Remote)
Arthrex
Naples, FL
Responsible for evaluation of complaints with respect to United States and International adverse event reporting regulations. Performs submission of adverse event reports to United States and International regulatory agencies Meet...
6 days ago seen See more...
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Remote Licensed Clinical Social Worker
Grow Therapy
Bridgeport, CT
$72 - $100 an hour
Free, hassle-free credentialing with major insurers: Under the Grow umbrella youll get paneled for free with the major payors in your state so you can also start seeing insurance clients. Referral stream + marketing partnerships...
6 days ago seen See more...
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Pediatric Speech-Language Pathologist (remote position for Hawaii clinic)
Sprouts Therapy
Hawaii, United States
$45 - $47 an hour
Pediatric Speech Therapist (Remote). Pediatric Feeding Occupational Therapist (Remote). Full-Time Schedule Coordinator (pre-builds caseload for new hires, fills cancellations when able, communicates directly with clients regarding...
2 weeks ago seen See more...
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Clinical Research Associate Manager - Central Region (Remote)
Merck
Rahway, NJ
Work allocation, staff development and performance appraisal.. Provides input for capacity planning, including reporting of current manpower and forecasting of CRA capacity and needs, to provide efficient use of resources.. Work w...
2 weeks ago seen See more...
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Outpatient Licensed Clinical Social Worker (fully remote)
Lifebulb
Hampton, VA
Up to $100,000 a year
Provide direct in-session care for your clients. Complete session documentation. Reschedule clients as you see fit & maintain your caseload. High client demand, Quick caseload growth. Guaranteed pay per session (no guess work or w...
2 weeks ago seen See more...
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Nurse Practitioner (NP) Director of Clinical Quality (REMOTE)
Vesta Healthcare
Remote
$145,000 - $165,000 a year
Develop, design, revise, and execute our comprehensive Clinical Quality program and educate the team on continuous quality improvements. Collaborate extensively with Nurse Practitioners, collaborating physicians, nursing staff, ot...
2 weeks ago seen
per diem Clinical Care Manager RN -mostly remote
Vns Health
New York, United States
$49.55 - $61.96 per hour
Attractive sign-on bonus and referral bonus opportunities . Generous paid time off (PTO), starting at30 days of paid time offand 9 company holidays . Health insurance plan for you and your loved ones, Medical, Dental, Vision...
3 weeks ago seen See more...
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Clinical Research Medical Director, Endocrinology - US, Remote
Biospace
Washington, DC
Provide clinical/scientific knowledge into the development, design, delivery and communcation of the global evidence generation plan for the maridebart cafraglutide (AMG 133) phase 3 program. Support cross-functional and global co...
3 weeks ago seen See more...
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Clinical Research Medical Director, Endocrinology - US, Remote
Amgen
Washington, DC
Provide clinical/scientific knowledge into the development, design, delivery and communcation of the global evidence generation plan for the maridebart cafraglutide (AMG 133) phase 3 program.. Support cross-functional and global c...
3 weeks ago seen See more...
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Clinical Business Operations Representative 3 - Hybrid/Remote
University Of Miami
Miami, FL
$34.6K - $43.8K a year
Assists the department in managing expectations surrounding pre and post patient care. Obtains or reviews all patient demographic information, insurance information and referral numbers. Reviews clinical records for completeness i...
3 weeks ago seen See more...
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Clinical Appeals RN
Bjc Healthcare
Saint Louis, MO
Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date. Disability insurance* paid for by BJC. Pension Plan*/403(b) Plan funded by BJC. 401(k) plan with BJC match....
4 weeks ago seen See more...
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Senior Clinical Appeals Coordinator
Adecco
Minneapolis, MN
$ 21.68 - $ 23.68 / Hour
Weekly Pay. 401(k) Plan. Skills Training. Excellent medical, dental, and vision benefits....
a month ago seen See more...
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Remote- Clinical Pharmacology, Modeling & Simulation- Senior Principal Scientist
Biospace
Thousand Oaks, CA
Plans all necessary non-compartmental analyses to support project team decisions, publications, and reporting. Designs Clinical Pharmacology components of drug development project clinical plans and provides Clinical Pharmacology...
a month ago seen See more...
- View all Biospace jobs - jobs in Thousand Oaks, CA
Remote Clinical Supervisor Board Certified Behavior Analyst (LBA, BCBA)
Highlights Healthcare
Mooresville, NC
Monday through Friday schedule No weekends. Competitive compensation starting at $75 per billable hour, commensurate with experience. Professional development opportunities. Company laptop. Train and supervise a team of Student An...
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Full-time Remote Clinical Supervisor Community Based (LPC LCSW)
Ems Of Virginia
Richmond, VA
Responsible for following through with referrals and completing assessments (initial, reassessments, comprehensive assessments). Responsible for case assignment and maintenance of client care. Ensures that billable hours are achie...
2 months ago seen See more...
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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...
2 months ago seen See more...
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Associate Director Global Clinical Program Management, Obesity - US, Remote
Biospace
Washington, DC
Line Management of Global Trial Managers (GTM)s. Supports Clinical Program Operations (CPO) Director/Snr Director in the following activities (leads activities in the absence of a director level e.g., on smaller programs):. Overal...
3 weeks ago seen See more...
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Associate Manager, Clinical Health Services (Remote)
Cvs Health
Tallahassee, FL
Fundamental Components Implements clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g., NCQA, URAC, state and federal standards and mandates as applicable) Serve as a conte...
3 weeks ago seen See more...
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Patient Coordinator (Remote/Non-clinical) AccessNurse in null (Remote) at TeamHealth
Teamhealth
Remote
Are you seeking a remote position? And are you able to provide a HIPAA-compliant workspace? Are you looking to start a new career with a reputable health care company? Week 1: July 1-5, M-F 9a-5p Eastern (No Class On July 4th). We...
4 weeks ago seen
CLINICAL QUALITY MANAGEMENT (Remote)
North Shore Surgi-Center
Los Angeles, CA
Graduate of an accredited school of nursing. Current Registered Nurse License. Current American Heart Assn. BLS and ACLS certifications. 1. Responsible for Quality Assurance Activities at the Bureau of Public Health Clinics (BPHC...
4 weeks ago seen See more...
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CLINICAL QUALITY MANAGEMENT (Remote) - Now Hiring
North Shore Surgi-Center
San Antonio, TX
Graduate of an accredited school of nursing. Current Registered Nurse License. Current American Heart Assn. BLS and ACLS certifications. 1. Responsible for Quality Assurance Activities at the Bureau of Public Health Clinics (BPHC...
4 weeks ago seen See more...
- View all - jobs in San Antonio, TX
Patient Coordinator (Remote/Non-clinical) AccessNurse in Boise, ID at TeamHealth
Teamhealth
Boise, ID
Are you seeking a remote position? And are you able to provide a HIPAA-compliant workspace? Are you looking to start a new career with a reputable health care company? Week 1: July 1-5, M-F 9a-5p Eastern (No Class On July 4th). We...
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Licensed Professional Clinical Counselor (Remote)
Gotham Enterprises Ltd
Elk Grove, CA
Engaged Clients:Connect with clients who fit your area of expertise. Our clients have low acuity, suffer from anxiety, depression, ADHD, OCD, relationship issues, weight disorders, or needs grief counseling. There are no children...
a month ago seen See more...
- View all - jobs in Elk Grove, CA
Patient Coordinator (Remote/Non-clinical) AccessNurse in Lawton, OK at TeamHealth
Teamhealth
Lawton, OK
Are you seeking a remote position? And are you able to provide a HIPAA-compliant workspace? Are you looking to start a new career with a reputable health care company? Week 1: July 1-5, M-F 9a-5p Eastern (No Class On July 4th). We...
a month ago seen See more...
- View all - jobs in Lawton, OK
Patient Coordinator (Remote/Non-clinical) AccessNurse in Casper, WY at TeamHealth
Teamhealth
Casper, WY
Are you seeking a remote position? And are you able to provide a HIPAA-compliant workspace? Are you looking to start a new career with a reputable health care company? Week 1: July 1-5, M-F 9a-5p Eastern (No Class On July 4th). We...
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