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CLINICAL APPEALS NURSE (REMOTE)

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...

CompanyCarefirst Bluecross Blueshield
AddressOwings Mills, MD
CategoryEducation/Training
Salary$65,808 - $130,702 a year
Job typeFull-time
Date Posted 2 months ago See detail

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...

(Clinical Monitor III - Remote)

Maxis Clinical Sciences

Remote

$680 - $736 a day

8 hour shift. Monday to Friday....

Senior Clinical Research Associate- Southern California(Remote)

Merck

Rahway, NJ

Develops strong site relationships and ensures continuity of site relationships through allphases of the trial.. Performs clinical study site management/monitoring activities in compliance with ICH-GCP,Sponsor SOPs, Local Laws & R...

Sr .Net Software Engineer I, Customer Solutions (Remote)

Join Our Talent Community

Scottsdale, AZ

$113,000 a year

Develop and maintain Cloud Migration Platform & tooling for evidence migrations. Develop and maintain automated processes that support Axon's product deployment and evolution at scale. Partner with internal teams and agencies to m...

Clinical Administrative Coordinator - Remote Nationwide

Unitedhealth Group

Wausau, WI

$16.54 - $32.55 an hour

Manage administrative intake of members and providers. Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers. Process incoming and outgoing referrals, and prio...

Clinical Service Evaluator II (Full-time Remote, North Carolina Based)

Alliance Health

Charlotte, NC

$58,480 - $76,024 a year

Establishes provider performance and service outcome measures, collects and analyzes performance information; plans and manages evaluations. Develops, designs, and implements evaluation projects based on sound and valid research m...

Senior Software Design Engineer, Customer Solutions (Remote)

Mattermost

Remote

$127,000 - $170,000 a year

Build custom software solutions, such as Mattermost plugins, for top customers. Drive complex, non-standard deployments to a healthy state. Provide deployment and upgrade guidance, utilizing high scale documentation, health checks...

Clinical Data Analyst (Remote)

American College Of Radiology

Philadelphia, PA

$78.2K - $99.1K a year

Work with stakeholders to gather requirements needed to extract, transform, and load (ETL) source data into data standards. Develop Clinical Data models based on study protocols utilizing Good Data Management practices. Perform ma...

Digital Growth Advocate: Remote Sales Specialist for Local Business Solutions

Timenetics

Remote

$39,440 - $400,000 a year

Prospect and engage with Local Businesses to introduce them to our state-of-the-art digital solutions. Customize presentations to showcase the unique benefits of our cutting-edge technology. Build and maintain strong client relati...

RN Clinical Quality Manager (QA Pod), Home Health (Remote) - Morehead, NC

Humana

Charlotte, NC

Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient ne...

Remote Licensed Clinical Social Worker in Florida

Pediatric Associates

Plantation, FL

$62.4K - $79K a year

Performs complex psychological and social assessments, which include barriers to coping, mental health history, cognitive development, adverse developmental events, resistance to treatment, mental health symptoms and learning and...

Outpatient Licensed Clinical Social Worker (fully remote)

Lifebulb

Summit, NJ

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...

CLINICAL TRIAL ASSOCIATE - REMOTE

Iuvo Bioscience Operations Llc

Remote

$70,000 - $75,000 a year

Review data in EDC system in real time, issue and resolve queries. Document remote monitoring activities on appropriate report template. Provide supplemental EDC training for sites as needed. Maintain a level of accuracy that mini...

Clinical Review Coordinator - Remote in PST, MST, CST or HI

Optum

Dallas, TX

$33.75 - $66.25 an hour

All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Ensure timely processing of all denial- related and member-oriented written communications from naviHealth. Ensure that all denial informat...

Clinical Ops Coordinator/MA - Clinical - Full Time - REMOTE

Promedica

Toledo, OH

$39.7K - $50.3K a year

Audit, inspect, collect and track clinical data for regulatory compliance, quality and safety metrics. Assists with education to practice staff for office based testing and clinical office equipment. Works with clinical team to id...

Registered Nurse - Anticoagulation Clinic- REMOTE

Ssm Health

Madison, WI

Implements and monitors patient care plans. Monitors, records and communicates patient condition as appropriate. Serves as a primary coordinator of all disciplines for well-coordinated patient care. Notes and carries out physician...

Travel RN - Clinic -100% Travel - Rapid City, SD - Virtual/Remote

Hire Energy

Bloomington, IN

Thriving Environment: Rapid City Hospital offers a vibrant and supportive workplace where your skills are valued, and your contributions make a significant impact. Professional Growth: Expand your nursing proficiency and knowledge...

Travel RN - Clinic -100% Travel - Rapid City, SD - Virtual/Remote

Hire Energy

Vineland, NJ

Thriving Environment: Rapid City Hospital offers a vibrant and supportive workplace where your skills are valued, and your contributions make a significant impact. Professional Growth: Expand your nursing proficiency and knowledge...

Travel RN - Clinic -100% Travel - Rapid City, SD - Virtual/Remote

Hire Energy

Nashua, NH

Thriving Environment: Rapid City Hospital offers a vibrant and supportive workplace where your skills are valued, and your contributions make a significant impact. Professional Growth: Expand your nursing proficiency and knowledge...

Senior Solutions Consultant - Services, Remote

Linq

Remote

$99.1K - $126K a year

Develop a deep understanding of our implementation methodology and its value proposition. Collaborate with the sales and professional services teams to identify opportunities to promote our methodology to potential clients. Create...

Travel RN - Clinic -100% Travel - Rapid City, SD - Virtual/Remote

Hire Energy

Springfield, MO

Thriving Environment: Rapid City Hospital offers a vibrant and supportive workplace where your skills are valued, and your contributions make a significant impact. Professional Growth: Expand your nursing proficiency and knowledge...

Senior Clinical Research Associate Medical Device REMOTE

Provident Research Inc

Pittsburgh, PA

Medical, Dental, and Vision. Disability. Life Insurance. 401(k) Plan. Paid Vacation and Holidays. Leadership. Strong Written and Verbal Communications. Strong organizational skills. Ability to travel Regionally up to 65%. Attentio...

Senior Clinical Research Associate Medical Device REMOTE

Provident Research Inc

Syracuse, NY

Medical, Dental, and Vision. Disability. Life Insurance. 401(k) Plan. Paid Vacation and Holidays. Leadership. Strong Written and Verbal Communications. Strong organizational skills. Ability to travel Regionally up to 65%. Attentio...

Clinical Nurse Reviewer, Specialty Solutions

Clario

Remote

$74K - $93.7K a year

Reviewing study requirements and endpoint definitions and collaborates with key stakeholders to develop study start-up activities and associated documents for endpoint adjudication Assists the Clinical Endpoint Project Manager in...

Clinical Program Coordinator RN *Remote*

Providence

Beaverton, OR

Provide care coordination, case management and care management services to Providence Health Plans(PHP) members. Care coordination services include: disease management programs, including educating, motivating and empowering membe...

Clinical Educator, Physician - MD or DO - Ambulatory CDI - Remote

Optum

Colorado, United States

Facilitates one-on-one provider documentation education sessions (with emphasis on ambulatory clinical documentation integrity) both in-person and live, remote. Facilitates group provider documentation education sessions (with emp...

Fully Remote Board Certified Behavior Analyst (BCBA)/ Clinical Supervisor

Cain Behavioral Therapy

California, United States

$40 - $48 an hour

BCBAs are responsible for managing their caseload which includes supervision of case supervisors and direct care staff. Conduct initial assessments and/or support case supervisor with feedback with initial assessment. Complete rea...

National Clinical Supervisor | Remote

Icf

San Antonio, TX

$57,737 - $98,153 a year

Ensures that complete timely and accurate documentation in accordance with agency policies and procedures and contract and regulatory requirements and standards. Provides tactical and strategic operational oversight of the organiz...

Licensed Clinical Social Worker/ Remote Therapist

Fresh Living Counseling, Llc

Lorida, FL

$40 - $50 an hour

Remote. Do you have a private and secure setting in your remote location to conduct counseling session in adherence to HIPAA law & guidelines? Clinical counseling: 2 years (Preferred). Florida State Licensed Clinical Social Worker...

Physician Clinical Reviewer- Rheumatology- REMOTE

Prime Therapeutics

Boise, ID

+ Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. + Assists the VP, Medical Affairs in research activities/questions related to the Utilization...