CLINICAL APPEALS NURSE

Halifax Health is seeking an Appeals Specialist for the PBFS - Administration Department.The Appeals Specialist is responsible for monitoring and tracking the status of appeals submitted by the Clinical Appeals Representative. The position involves but is not limited to reviewing incoming denials for appropriateness, documenting the denial specifics into the...

Job DescriptionJOB DESCRIPTIONJob Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding...

Job DescriptionJob DescriptionPOSITION SUMMARYCoordinates all clinical facilities and clinical experiences for nursing students. Is also responsible for obtaining and maintaining clinical sites. This is a staff position reporting directly to the Director of Nursing.ESSENTIAL DUTIES AND RESPONSIBLITIES· Visits potential clinical sites and initiates the...

Job Details Description Become an Education Leader and join our team of dedicated Professionals. Glendale Career College is part of a stable and growing system of nine campuses in California and Nevada. Which is a leader in Medical Career Training since 1966. Our everyday mission is to educate students in short-term and professional programs...

Aveanna Healthcare, the largest pediatric home health care company in the U.is hiring compassionate Licensed Vocational Nurses (LVN) to provide skilled nursing care to patients in the home setting. We have immediate needs in Long Beach and Paramount, CA for all shifts including; PM, NOC and Weekend shifts.  The Licensed Vocational Nurse (LVN) is...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Nurse Consultant will report to the Manager of Care Management for the Population Health Management Medi-Cal Team. In this role, you will ensure that services are...

Excellent career growth opportunities Join us and find a career that supports: • Diversity, equity, inclusion, and belonging • Growth and training In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and...

Your Role The Federal Employee Program (FEP) Care Management team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with their care including a multidisciplinary team and the member’s treating physicians. The Registered...

Skilled Nursing Facility - Job Title: Chief Clinical Dietician Schedule: Monday-Friday, 9am-5pm Salary: Up to $75k Reports to: Food Service Director/Administrator Job Summary: We are seeking a skilled and compassionate Chief Clinical Dietician to join our team. As the Chief Clinical Dietician, you will be responsible for providing comprehensive nutritional...

FT Healthcare Recruiter/ Coordinator Must be expereinced in running a full service desk Recruitment to Placement of Per diem Nursing and Therapy professionals

Roze Room is a leading provider of Hospice and Palliative Care, celebrating 25 years of service to SouthernCalifornia communities. Full Time LVN Clinical Care CoordinatorMust have CA VN License.Must be able to Commute South Bay/Los Angeles areas.Hourly $35-40/hr + Mileage Reimbursement.Earn a competitive salary commensurate with experience. Achieve life...

Description Description - External The incumbent has 24-hour responsibility for and oversight of the coordination of care for patients and families within thedepartment. The incumbent shall plan, organize, direct and evaluate people and activities for the department to ensure the delivery of high quality, cost effective patient care. The incumbent has fiscal...

Overview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...

Overview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...

Overview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...

We are seeking a Licensed Practical Nurse Clinic for a travel assignment in Long Beach California. At TotalMed, our aim is to be the last company you ever work with. We prove it, too, with the highest compensation, first day medical benefits, a best in industry 401(K) retirement plan, and fiduciary services offered through Creative Planning. You will have...

Excellent career growth opportunities Join us and find a career that supports: • Diversity, equity, inclusion, and belonging • Growth and training In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and...

Job Description I am pleased to call your attention to an opportunity for licensed psychologists (full or part time) to join our clinical team in Long Beach, CA. CHE is one of the largest providers of on-site psychological services to seniors in the country. For the past 21 years our group has been providing psychological services,...

An excellent opportunity for Nurse Director of Maternal Child Health is now available in Southern California, at a 300 bed non profit Medical Center. The Maternal Child Health Nurse Director will oversee labor and delivery, postpartum, level III Neonatal Intensive Care Unit, and Pediatrics. The Mother Baby Nurse Director will over see a department, which is...

Description Title: RN II Location: Miller Children’s & Women’s Hospital – Long Beach, CA Department: OPSC Children's Village Clinic – Outpatient Pediatric Oncology/Hematology Status: Full-time Shift: Days (8hr) Pay Range*: $53.18/hr - $73.57/hr At MemorialCare Health System, we believe in providing extraordinary healthcare to...