RN Clinical Appeals ReviewerVirtualVocations • Norwalk, California, United States
No se aceptan más aplicaciones
RN Clinical Appeals Reviewer
VirtualVocations • Norwalk, California, United States
Hace más de 30 días
Tipo de contrato
- A tiempo completo
Descripción del trabajo
A company is looking for an IBR Clinical Appeals Reviewer - Remote.
Key Responsibilities
Analyze and respond to IBR Appeals inquiries
Perform medical record reviews and prepare written appeals
Collaborate with auditors and leadership to review impacted claims
Required Qualifications
Undergraduate nursing degree
Unrestricted RN (registered nurse) license
2+ years of appeals experience (coding or auditing)
Experience with CPT-4 and ICD10 CM / PCS coding
Advanced knowledge of regulations and compliance in appeals
Crear una alerta de empleo para esta búsqueda
Clinical Rn • Norwalk, California, United States
Ofertas relacionadas
Vetted is seeking a RN - ICU - Intensive Care Unit for a travel job in Pomona, California.The job was posted about 1 month ago.
The assignment starts on Nov 25 and is 13 weeks long with 12 hour shif...Mostrar más A company is looking for an Appeals Nurse Consultant (Remote).Key Responsibilities Review and resolve clinical appeals Interpret data from clinical records to apply clinical criteria and policie...Mostrar más 
Vetted is seeking a RN - Case Management for a travel job in Los Angeles, California.The job was posted 18 days ago.The assignment starts on Nov 3 and is 13 weeks long with 8 hour shifts 5 days a w...Mostrar más Vetted is seeking a RN - Case Management for a travel job in Los Angeles, California.The job was posted 12 days ago.The assignment starts on Dec 1 and is 18 weeks long with 8 hour shifts 5 days a w...Mostrar más 
Solomon Page is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements.
Our client is looking to add a Registered Nurse to...Mostrar más A company is looking for a Clinical Review Clinician - Appeals.Key Responsibilities Performs clinical reviews to resolve and process appeals by analyzing medical records and clinical data Ensure...Mostrar más A company is looking for a Care Coordinator - Clinical Appeals RN.Key Responsibilities Perform medical necessity reviews for inpatient, outpatient, and retrospective cases to ensure compliance wi...Mostrar más A company is looking for a Denials and Appeals Administrator.Key Responsibilities Manage the pre-denial, denial, and appeal processes, ensuring compliance with nationally accepted admission crite...Mostrar más A company is looking for an RN Concurrent Review.Key Responsibilities Monitor and document medical treatment telephonically, ensuring compliance with established guidelines Track patient progres...Mostrar más A company is looking for an RN Clinical Appeals.Key Responsibilities Review denials and perform root cause analysis to improve processes and reduce denials Contact insurance plans to determine r...Mostrar más 
American Traveler is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements.
American Traveler is seeking an experienced R...Mostrar más
Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements.
Active State or Compact RN License.Strong assess...Mostrar más
Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements.
Pay package is based on 8 hour shifts and 40 ho...Mostrar más
Genie Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements.
Genie Healthcare is looking for a RN to work i...Mostrar más
Assured Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements.
Assured Nursing is currently seeking a.The idea...Mostrar más
Care Career is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements.
Case managers work to facilitate patient care by as...Mostrar más
LeaderStat is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements.
The above pay package is an estimate, please contact...Mostrar más A company is looking for a Clinical Appeals RN - Remote.Key Responsibilities : Perform medical reviews on provider inquiries and member appeals Ensure compliance with Department of Labor and Stat...Mostrar más
RN - ICU - Intensive Care Unit in Pomona, California - $2,288 / week
Vetted Health • Pomona, CA, US
A tiempo completo
Última actualización: hace 6 horas • Oferta promocionada • Nueva oferta
RN Appeals Nurse Consultant
VirtualVocations • Huntington Beach, California, United States
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
RN - Case Management in Los Angeles, California - $2,279 / week
Vetted Health • Los Angeles, CA, US
A tiempo completo
Última actualización: hace 6 horas • Oferta promocionada • Nueva oferta
RN - Case Management in Los Angeles, California - $2,378 / week
Vetted Health • Los Angeles, CA, US
A tiempo completo
Última actualización: hace 6 horas • Oferta promocionada • Nueva oferta
Travel RN Case Manager
Solomon Page • Mission Viejo, CA, US
A tiempo completo
Última actualización: hace 22 días • Oferta promocionada
RN Clinical Review Clinician
VirtualVocations • Norwalk, California, United States
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
Clinical Appeals Care Coordinator RN
VirtualVocations • Norwalk, California, United States
A tiempo completo
Última actualización: hace 3 días • Oferta promocionada
RN Appeals Administrator
VirtualVocations • Huntington Beach, California, United States
A tiempo completo
Última actualización: hace 21 horas • Oferta promocionada • Nueva oferta
Texas Licensed Concurrent Review RN
VirtualVocations • Huntington Beach, California, United States
A tiempo completo
Última actualización: hace 3 días • Oferta promocionada
Virginia Licensed RN Clinical Appeals
VirtualVocations • Long Beach, California, United States
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
Travel RN Case Manager
American Traveler • Mission Viejo, CA, US
Indefinido
Última actualización: hace 21 días • Oferta promocionada
Travel RN Case Manager
Prime Staffing • Mission Viejo, CA, US
Indefinido
Última actualización: hace 22 días • Oferta promocionada
Travel RN Case Manager
Host Healthcare • Mission Viejo, CA, US
A tiempo completo
Última actualización: hace 22 días • Oferta promocionada
Travel RN Case Manager
Genie Healthcare • Mission Viejo, CA, US
A tiempo completo
Última actualización: hace 22 días • Oferta promocionada
Travel RN Case Manager
Assured Nursing • Mission Viejo, CA, US
A tiempo completo
Última actualización: hace 22 días • Oferta promocionada
Travel RN Case Manager
Care Career • Mission Viejo, CA, US
A tiempo completo
Última actualización: hace 22 días • Oferta promocionada
Travel RN Case Manager
LeaderStat • Mission Viejo, CA, US
A tiempo completo +1
Última actualización: hace 22 días • Oferta promocionada
Wisconsin Licensed Clinical Appeals RN
VirtualVocations • Van Nuys, California, United States
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada