Talent.com
No longer accepting applications
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsJackson, Mississippi, United States
30+ days ago
Job type
  • Full-time
Job description

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

Create a job alert for this search

Rn Clinical • Jackson, Mississippi, United States

Related jobs
  • Promoted
RN Clinical Appeals Specialist

RN Clinical Appeals Specialist

VirtualVocationsJackson, Mississippi, United States
Full-time
A company is looking for a Clinical Appeals RN - Remote.Key Responsibilities Perform initial assessments of appeals, medical records, and compliance with coverage criteria Identify additional in...Show moreLast updated: 30+ days ago
  • Promoted
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsJackson, Mississippi, United States
Full-time
A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.Key Responsibilities Conduct medical claim reviews for complex services and det...Show moreLast updated: 2 days ago
  • Promoted
Tennessee Licensed Clinical Review Manager

Tennessee Licensed Clinical Review Manager

VirtualVocationsJackson, Mississippi, United States
Full-time
A company is looking for a Clinical Review Manager to oversee medical reviews for utilization management.Key Responsibilities Initiate referrals for appropriate coordination of care Assist in co...Show moreLast updated: 8 days ago
  • Promoted
RN Denials Management Associate Manager

RN Denials Management Associate Manager

VirtualVocationsJackson, Mississippi, United States
Full-time
A company is looking for an Associate Manager RN Denials Management.Key Responsibilities Oversee operations of the team to ensure efficient payer denial and appeal reviews Supervise team members...Show moreLast updated: 2 days ago
  • Promoted
  • New!
Utilization Review Clinical Liaison

Utilization Review Clinical Liaison

VirtualVocationsJackson, Mississippi, United States
Full-time
A company is looking for a Utilization Review Clinical Liaison.Key Responsibilities Serve as the primary point of contact for 1st level utilization review (UR) cases Coordinate 2nd level escalat...Show moreLast updated: 11 hours ago
  • Promoted
Clinical Compliance Manager - RN

Clinical Compliance Manager - RN

VirtualVocationsJackson, Mississippi, United States
Full-time
A company is looking for a Clinical Compliance Program Manager who will ensure compliance with Utilization Management and Quality Improvement Program regulations. Key Responsibilities : Facilitate ...Show moreLast updated: 2 days ago
  • Promoted
Maryland Licensed Clinical Appeals Nurse

Maryland Licensed Clinical Appeals Nurse

VirtualVocationsJackson, Mississippi, United States
Full-time
A company is looking for a Clinical Appeals Nurse (Remote).Key Responsibilities Investigates and analyzes written appeals and reconsideration requests, responding with detailed letters while adhe...Show moreLast updated: 1 day ago
  • Promoted
Travel RN Case Manager, Discharge Planning

Travel RN Case Manager, Discharge Planning

Nightingale NursesJackson, MS, US
Full-time
Nightingale Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Jackson, Mississippi.Job Description & Requirements. You may not realize it, but as an RN with real wo...Show moreLast updated: 3 days ago
  • Promoted
Travel RN Case Manager, Discharge Planning

Travel RN Case Manager, Discharge Planning

American Medical StaffingJackson, MS, US
Full-time
American Medical Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Jackson, Mississippi.Job Description & Requirements. We’re living in the new normal.Lives...Show moreLast updated: 3 days ago
  • Promoted
Travel RN Case Manager, Discharge Planning

Travel RN Case Manager, Discharge Planning

Care CareerJackson, MS, US
Full-time
Care Career is seeking a travel nurse RN Case Management for a travel nursing job in Jackson, Mississippi.Job Description & Requirements. Case managers work to facilitate patient care by assessi...Show moreLast updated: 3 days ago
  • Promoted
  • New!
RN Licensed Senior Bill Reviewer

RN Licensed Senior Bill Reviewer

VirtualVocationsJackson, Mississippi, United States
Full-time
A company is looking for a Senior Complex Bill Reviewer.Key Responsibilities Conduct medical reviews of provider and hospital bills for accuracy and compliance Audit complex medical bills and va...Show moreLast updated: 11 hours ago
  • Promoted
  • New!
RN Case Management Manager

RN Case Management Manager

VirtualVocationsJackson, Mississippi, United States
Full-time
A company is looking for a Manager, Case Management.Key Responsibilities Oversee the execution and implementation of Clinical Programs' strategy and operations Lead and develop a team of clinica...Show moreLast updated: 7 hours ago
  • Promoted
Tennessee Licensed Senior Medical Reviewer

Tennessee Licensed Senior Medical Reviewer

VirtualVocationsJackson, Mississippi, United States
Full-time
A company is looking for a Registered Nurse Senior Medical Reviewer (Home Health and Hospice).Key Responsibilities Acts as team leader for medical review and case management, providing guidance a...Show moreLast updated: 6 days ago
  • Promoted
Travel Acute Care RN Case Manager - Discharge Planning

Travel Acute Care RN Case Manager - Discharge Planning

Nightingale NursesJackson, MS, US
Full-time
Nightingale Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Jackson, Mississippi.Job Description & Requirements. You may not realize it, but as an RN with real wo...Show moreLast updated: 12 days ago
  • Promoted
Travel RN Case Manager, Discharge Planning

Travel RN Case Manager, Discharge Planning

LeaderStatJackson, MS, US
Full-time +1
LeaderStat is seeking a travel nurse RN Case Management for a travel nursing job in Jackson, Mississippi.Job Description & Requirements. The above pay package is an estimate, please contact our ...Show moreLast updated: 3 days ago
  • Promoted
RN Clinical Documentation Consultant

RN Clinical Documentation Consultant

VirtualVocationsJackson, Mississippi, United States
Full-time
A company is looking for a CDI Consultant to support clinical documentation improvement in a remote capacity.Key Responsibilities Review and evaluate medical record documentation for completeness...Show moreLast updated: 1 day ago
  • Promoted
Travel Nurse RN - Case Manager - $2,291 per week in Jackson, MS

Travel Nurse RN - Case Manager - $2,291 per week in Jackson, MS

TravelNurseSourceJackson, Mississippi, US
Full-time
TravelNurseSource is working with Medical Solutions to find a qualified Case Manager RN in Jackson, Mississippi, 39216!.A facility in Jackson, MS is seeking its next amazing RN (Registered Nurse) t...Show moreLast updated: 22 days ago
  • Promoted
Travel Nurse RN - Case Manager - $2,086 to $2,286 per week in Jackson, MS

Travel Nurse RN - Case Manager - $2,086 to $2,286 per week in Jackson, MS

TravelNurseSourceJackson, Mississippi, US
Full-time
TravelNurseSource is working with Ventura MedStaff to find a qualified Case Manager RN in Jackson, Mississippi, 39216!.Are you ready to take your Travel career to the next level? See places you ha...Show moreLast updated: 30+ days ago
  • Promoted
State Licensed Clinical Content Reviewer

State Licensed Clinical Content Reviewer

VirtualVocationsJackson, Mississippi, United States
Full-time
A company is looking for a Clinical Content Editor - PGY-1 / Medical Students.Key Responsibilities Collaborate with a multidisciplinary team to create and curate content on emerging medical technol...Show moreLast updated: 1 day ago
  • Promoted
New York RN Case Manager

New York RN Case Manager

VirtualVocationsJackson, Mississippi, United States
Full-time
A company is looking for an RN Case Manager.Key Responsibilities Coordinate all aspects of a patient's care, including medical, behavioral, functional, and social needs Conduct ongoing care coor...Show moreLast updated: 1 day ago