Clinical Appeals Nursing Supervisor

Job SummaryReporting to the Chief Medical Officer, the Director of Complaints, Grievances, and Appeals (CG&A) is responsible for directing CG&A operations, providing leadership and oversight for all lines of business. The Director will oversee key CG&A functions including the processing of member appeals, provider appeals, and payment disputes. In addition,...

Liberty CaresWith Compassion***$10,000 Sign on Bonus***Liberty Senior Living is currently seeking an experienced:REGISTERED NURSE SUPERVISOR (RN)Full Time, DaysJob Description:Assures the best patient care possible by supervising the Facility and by directing the nursing staff during the shift. Assists Director of Nursing in directing, coordinating and...

Maxim Healthcare Services Clinical Director- BCBA Wilmington , North Carolina Apply Now Maxim Healthcare Services Wilmington, NC is hiring a Clinical Director – BCBA to help provide clinical oversight of clients receiving behavioral services.Why Join MaximCompetitive pay, weekly paychecks, & quarterly bonus eligibleLocal and divisional clinical...

About NHRMC NHRMC, established in 1967 in Wilmington, NC, is recognized as a preeminent healthcare organization focused on leading our community to outstanding health. We have an 855 bed network of hospitals and multi-specialty physician group practices with more than 200 physicians. With a network of primary, specialty, neighborhood clinics and regional...

Salary: See Position DescriptionLocation : New Hanover County, NCJob Type: Full-TimeJob Number: Department: COMMUNITY JUSTICE SERVICESOpening Date: 05/21/2024Closing Date: ContinuousPosition Information New Hanover County is seeking a Licensed Clinical Therapist to work in the Community Justice Services department. This long-standing partially grant-funded...

Certified Nursing Assistant (CNA)New Wage Scale$2,500 Sign on Bonus Briarcliff Skilled Nursing FacilityCarthage, TX 12 Hour ShiftsBriarcliff Skilled Nursing Facility in Carthage, TX is looking for Certified Nursing Assistants (CNA) Briarcliff Skilled Nursing Facility in Carthage, TX has opportunities for Certified Nursing Assistant (CNA) to join our team A...

Job Description We offer our Psychologists:At clinicians preference able to have or add psychotherapy to their caseload. Flexible work schedules: Full-time - set your own schedule hybrid schedule- onsite & remote work 100% outpatient work. No nights, no hospital calls, no weekends. Compensation with unlimited/uncapped earnings Full benefits package: health,...

BAYADA Home Health Care is seeking a Clinical Nurse Manager (RN required) for our Wilmington, NC pediatric home care office. This office provides best in class care to pediatric clients. Do you want to be part of providing care with the highest professional, ethical, and safety standards? Do you want to use your leadership and mentoring skills to make a...

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. The Clinical Coordinator is responsible for assisting with...

Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3.2B business serving nearly 500,000 members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider sponsored health plans—backed by the clinical...

CNA Training Program, PaidBriarcliff Skilled Nursing FacilityCarthage, TXHave you ever thought of a career in Healthcare, but did not have the training or skills needed? Briarcliff Skilled Nursing Facility in Carthage, TX is offering a Free Certified Nursing Aide Training to provide you with the skills necessary to start your career as a Non-Certified Nurse...

CNA Training Program, PaidBriarcliff Skilled Nursing FacilityCarthage, TXHave you ever thought of a career in Healthcare, but did not have the training or skills needed? Briarcliff Skilled Nursing Facility in Carthage, TX is offering a Free Certified Nursing Aide Training to provide you with the skills necessary to start your career as a Non-Certified Nurse...

Hanover Hall is seeking a Maintenance Assistant for our skilled nursing facility in Hanover, PA.You will perform a variety of maintenance, light cleaning and organizing duties.Shift Available:- Full-Time Monday Friday with a rotating oncall scheduleResponsibilities: Maintains facility by repairing walls, baseboards, doors, ceilings, mirrors, windows,...

Summary: The Team Leader is responsible for the supervision and management of team operations and staffing. Team Leader ensures that services are provided to the members served to meet the clinical needs of each recipient through direct and indirect interventions. Essential Duties and Responsibilities: The team leader (clinical supervisor) must provide...

LOCATION: Remote - home based, virtual position. Must reside in North Carolina or within 40 miles of the NC border. Work Schedule: Wednesday – Saturday, 7am - 5:30pm. This is a 40 hour per week position. GENERAL STATEMENT OF JOB: The primary purpose of the Member & Recipient Services Representative position is to assist individuals with mental health,...

LanceSoft is seeking a local contract nurse RN Oncology for a local contract nursing job in Wilmington, North Carolina. Oncology ~ Shift: 12 hours, days ~ Employment Type: Local Contract ~ Perks: Medical, Health, Dental, Vision Insurance. Weekly pay. Travel reimbursement, $700 Referral bonus.Medical, Health, Dental, Vision Insurance. Weekly pay. Travel...

Liberty Cares With Compassion At Liberty Hospice we understand the unique needs of our patients and families facing terminal illness. That is why Liberty Hospice provides our hospice patients with state-of-the-art care and pain management services, delivered by our specially trained staff with emphasis on strength, dignity and compassion. We are currently...

Zenex Healthcare (A Division of Zenex Partners) is seeking a local contract nurse RN Med Surg / Telemetry for a local contract nursing job in Wilmington, North Carolina.Specialty: Med Surg / Telemetry ~ Shift: 12 hours, nights ~ Employment Type: Local Contract Minimum Years of Experience: Must have 2 years of surgical unit experience Traveler Experience:...

Who you are:As the Vendor Auditor for Johns Hopkins Health Plans ("JHHP"), your in-depth knowledge of auditing, claims, and medical policy helps ensure that our vendors are performing to policy and regulations. Not only will you lead audits, you will also report out to the oversight committees and lead in audits performed by regulatory and accreditation...

ESSENTIAL JOB FUNCTIONS: Partner with clinical, medical, nursing, and intake departments to support patients Assists with admissions, room searches, performs rounds every 2 hours to ensure patient safety Properly document inappropriate behavior or problem behaviors. Monitor grounds for violations and unauthorized visitors. Assists the Department supervisor...