Clinical Appeals Nurse

Job SummaryWe are seeking a highly skilled Clinical Appeals Nurse to join our team at KPC Global Medical Centers Inc. The successful candidate will be responsible for investigating and processing medical necessity appeals from members and providers to payers.Key ResponsibilitiesConduct thorough research on standards of practice, regulations, and policy...

Job Title: Medical Care NurseVNS Health is seeking a skilled Registered Nurse to join our team as a Clinic Utilization Review professional in West New York, New Jersey.Job Summary:We are looking for a highly motivated and detail-oriented Registered Nurse to resolve grievances, appeals, and external reviews for our VNS Health Plans product lines. The ideal...

Job Title: Medical Care SpecialistVNS Health is seeking a skilled Medical Care Specialist to join our team in West New York, New Jersey.About the Role:This is a nursing job that requires a Registered Nurse (RN) with experience in clinic utilization review. The successful candidate will be responsible for resolving grievances, appeals, and external reviews...

Job Title: Travel Nurse RN Clinic InfusionEpic Travel Staffing is seeking a skilled travel nurse RN for a clinic infusion position in a dynamic healthcare setting.Job Details:Specialty: InfusionDiscipline: RNEmployment Type: TravelThe ideal candidate will have experience in infusion nursing, with a focus on oncology and minimal hematology. The infusion ratio...

TravelNurseSource is working with Prime Time Healthcare to find a qualified Home Health RN in Corona, California, 92877 About The Position Prime Time Healthcare is a nationwide leader in staffing Allied Health Professionals, RN Travel Nurses, Travel CNAs, and Travel LPNs. With access to thousands of Hospitals and community facilities across the country, our...

Job SummaryWe are seeking a skilled and compassionate Licensed Vocational Nurse (LVN) to join our team at Kaiser Permanente's Corona MOB Obstetrics/Gyn-Reg Clinic. As an LVN, you will play a vital role in providing high-quality patient care and contributing to the success of our healthcare team.Key ResponsibilitiesProvide direct patient care under the...

Clinical Pharmacist I Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center...

Job Summary:As a Licensed Vocational Nurse (LVN) in our Outpatient Clinic, you will provide high-quality patient care under the supervision of a Registered Nurse or physician/advanced practice provider. Your observational skills will enable you to assist medical staff in delivering optimal care within established policies, procedures, and standards.Essential...

Job Title: Clinical Supervisor, Hospice IntakeVNS Health is seeking a highly skilled and experienced Registered Nurse (RN) to fill the role of Clinical Supervisor, Hospice Intake. This position is responsible for overseeing and coordinating all aspects of the Hospice Liaison Intake process, ensuring that care is provided within the standards of practice for...

About the RoleWe are seeking a highly skilled and experienced Wound Care Registered Nurse to join our team at Corona Rehabilitation Hospital in Corona, CA. As a Wound Nurse, you will play a critical role in providing clinical services to patients with wounds and related skin breakdown.Key ResponsibilitiesPerform in-depth wound assessments and develop...

Job Title: Clinical Supervisor, Hospice IntakeVNS Health is seeking a highly skilled and experienced Registered Nurse (RN) to fill the role of Clinical Supervisor, Hospice Intake. This position is responsible for overseeing and supervising all aspects of the Hospice Liaison Intake process, ensuring that care is provided within the standards of practice for...

About the RoleWe are seeking a highly skilled Hematology/Oncology Nurse Practitioner to join our team at OneOncology. As a key member of our clinical team, you will be responsible for providing high-quality patient care and contributing to the development of our oncology and hematology services.Key ResponsibilitiesAssess and manage patients with...

Position Overview The Clinical Manager for Wound Care Services is responsible for the development, execution, and coordination of wound care initiatives through collaborative interdisciplinary efforts and adherence to established wound care protocols and standards. This role involves maintaining up-to-date knowledge of care standards and leading the Wound...

Job SummaryKPC Global Medical Centers Inc. is seeking a highly skilled Clinical Documentation Specialist/Coder III to join our team. As a key member of our healthcare team, you will be responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records to ensure accurate and compliant documentation.Key...

Job DescriptionJob DescriptionSUMMARYThe Clinical Documentation Specialist (CDS)/Coder III is responsible conducting clinically based concurrent and retrospective reviews of inpatient medical records. This review is to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services...

Summary:Ref #: M-PCP-8350501Profession: PhysicianSpecialty: Correctional/Primary Care/Family/Gerontology/Obstetrics/EmergencyJob Type: ContractFacility Type: CorrectionalLocation: Corona, CaliforniaStart Date: ASAPDuration: 27 weeksSchedule:Mon, Tue, Wed, Thu, 7A-5PRate: $135/hourRequirements:Active California Physician licenseA minimum of two (2) years of...

Job DescriptionJob Summary:Full Spectrum Search Group, a leading healthcare recruiting agency, is seeking an experienced Home Health Nurse Clinical Manager to join our team. As a key member of our organization, you will be responsible for ensuring the delivery of high-quality patient care in a home health setting.Key Responsibilities:Collaborate with the...

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with...

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with...

Job SummaryWe are seeking a skilled Licensed Vocational Nurse (LVN) to join our team at Kaiser Permanente's Corona Medical Office Building. As an LVN, you will provide high-quality patient care under the direction of a Registered Nurse or physician/advanced practice provider.Key ResponsibilitiesProvide nursing care to patients in accordance with established...