Clinical Appeals Specialist

Clinical Appeals SpecialistOhm Systems, Inc. is seeking a Clinical Appeals Specialist to join our team.Estimated Salary: $85,000 - $115,000 per year.About the Role:The Clinical Appeals Specialist plays a critical role in processing appeals and grievances, ensuring compliance with regulatory timeframes and standards. This position involves clinical expertise,...

Job OverviewV R Della Infotech Inc is seeking a highly skilled Clinical Appeals Specialist to join our team. This role plays a critical part in ensuring that all appeals and grievances are processed efficiently and effectively.

**About the Role**The GIANT Company is a dynamic organization committed to making our stores and facilities better every day. As a key member of our team, you will help us achieve this goal by performing various tasks related to produce inventory management.We are passionate about building strong families and healthy communities, serving millions of...

About the RoleWe are seeking a highly skilled Communication Specialist to join our team in Newtown Square, PA.Job Type: Full-time or Part-timeSalary:$55.00 - $65.00 per hourKey ResponsibilitiesConduct thorough assessments and evaluations to identify clients' communication needs.Develop personalized treatment plans tailored to individual clients.Provide...

Job OverviewWe are seeking a skilled Comprehensive Home Care Specialist to join our team at Marie Lawrence Associates.This is a full-time position with an estimated salary of $62,500 - $80,000 per year, depending on experience.Company OverviewOur client is a family-owned home care services company founded in 2014. We pride ourselves on providing a positive...

Company Overview: Rothman Orthopaedics is a leading healthcare organization dedicated to providing exceptional orthopaedic care to patients. Our commitment to excellence and patient satisfaction has earned us the distinction as a Top Workplace in Philadelphia by the Philadelphia Inquirer year after year.Job Summary: We are seeking a highly skilled and...

Main Line Health is at the forefront of medical excellence, combining clinical expertise with compassion. Our physicians collaborate with hospitals and specialists to provide patients with access to state-of-the-art technology and advanced treatment options.CompensationThe salary for this position is estimated to be between $23.94 and $37.10 per hour, based...

Job OverviewAveanna Healthcare is a leading provider of pediatric and adult care services. We specialize in delivering compassionate and personalized care to patients in the comfort of their own homes.We are seeking a dedicated Registered Nurse (RN) to join our team in Media, PA. As an Aveanna Healthcare RN, you will have the opportunity to make a profound...

Job OverviewWe are seeking a skilled Nuclear Medicine Technologist PET/CT to join our team at CDL Nuclear Technologies LLC.Key ResponsibilitiesOperate the camera to obtain high-quality images based on clinical protocols as directed by physicians.Perform patient care during scans and administer Rb-82 isotope doses.Maintain the hot lab, ensuring compliance...

White Horse Village is a premier senior living community seeking an experienced Licensed Practical Nurse (LPN) to join our skilled nursing team. We offer a competitive benefits package and a dynamic work environment that fosters personal growth and relationships.Job SummaryWe are looking for a skilled LPN to provide high-quality care to our residents. As a...

About the RoleWe are seeking a compassionate and skilled Pediatric Licensed Practical Nurse to join our team at Care Options for Kids. As a Pediatric Home Health Care Specialist, you will have the opportunity to make a meaningful difference in the lives of children and their families.In this role, you will provide one-to-one nursing care in a home...

About the RoleAs a Home Health Care Nurse Specialist with Care Options for Kids, you will provide one-to-one nursing care in a home environment. Our approach is centered around empowering nurses to work with self-sufficiency and autonomy, making a real difference in the lives of our clients.We value your clinical knowledge and respect the deep bond you...

Job Title: Medical Nurse Specialist - OB/GYNAt ChristianaCare, we are committed to delivering high-quality patient care and making a positive impact in our community. Our team of dedicated healthcare professionals is seeking a Medical Nurse Specialist - OB/GYN to join our dynamic nursing team.OverviewWe are seeking an experienced Registered Nurse with a...

Compensation: The estimated salary for this position is $65,000 - $80,000 per year, depending on experience.">About Us:Potential Inc. is a non-profit Autism service organization dedicated to making meaningful changes in the lives of our clients. We believe that every individual with Autism has the potential for a fulfilling life and employ evidence-based...

Job OverviewWe are seeking a highly skilled Board Certified Behavior Analyst to join our team at Chimes. This role is ideal for individuals passionate about improving the lives of people with autism spectrum disorder and other behavioral disorders.Salary and BenefitsThe salary for this position is $42+ per hour, and full-time and part-time availability...

Summary:The Clinical Appeals Reviewer plays a key role in processing appeals and grievances, ensuring compliance with regulatory timeframes and standards. This role involves clinical expertise, case investigation, and communication with providers, members, and regulatory entities to support accurate medical determinations.Position Info:Title: Clinical...

Name: Clinical Appeals ReviewerType: StaffingStatus: PendingClient: AmeriHealth Caritas ServicesStart: 01/20/2025End: 04/30/2025 Description:Reason: New PositionDepartment: Clinical Appeals MedicareJob Category: NonClinical - Admin/Claims/CSR/Tech Job Title: Clinical Appeals ReviewerDuties: The Clinical Appeals Reviewer reports to the Supervisor, Appeals...

At BAYADA Home Health Care, we believe that health care gets better when clients get better care at home.About the OpportunityWe are seeking a skilled and compassionate Clinical Care Specialist - Home Health to join our team in Hamilton, New Jersey.Job SummaryThis is a full-time opportunity for a dedicated and patient-focused nurse to provide one-on-one care...

Could you be our next Licensed Practical Nurse LPN for Primary Care in Newtown Square, PA? Why work as an LPN with Main Line Health? All Newly Hired Licensed Practical Nurses will receive a $2000 Sign on Bonus! Main Line Healthcare is at the forefront of medical excellence, combining clinical expertise with compassion. As part of the Main Line Healthcare...

Could you be our next Licensed Practical Nurse with Main Line HealthCare?  All Newly Hired Licensed Practical Nurses will receive a $2000 Sign on Bonus! Main Line Healthcare is at the forefront of medical excellence, combining clinical expertise with compassion. As part of the Main Line Healthcare family, our physicians collaborate with the...

Could you be our next Licensed Practical Nurse with Main Line HealthCare? All Newly Hired Licensed Practical Nurses will receive a $2000 Sign on Bonus! Main Line Healthcare is at the forefront of medical excellence, combining clinical expertise with compassion. As part of the Main Line Healthcare family, our physicians collaborate with the hospitals and...

Join our Team at Premier Orthopaedics!Title: Triage Nurse (RN) Location: On-site, Newtown Square, PA (Flexible based on candidate location) Schedule: Full-time, Monday-Friday 8:00am-4:30pm About Us: Premier is a leading orthopedic practice committed to diagnosing and treating a wide range of orthopedic injuries and conditions. We operate in over 50 locations...

About UsAt the Stone Bridge Center for Health & Rehabilitation, we prioritize creating a safe environment for our residents and staff. As part of our affiliate family with National Health Care Associates, we offer a unique opportunity to make a meaningful difference in the lives of others.Our MissionWe strive to provide exceptional care and services that...

Could you be our next Licensed Practical Nurse with Main Line HealthCare? All Newly Hired Licensed Practical Nurses will receive a $2000 Sign on Bonus!Main Line Healthcare is at the forefront of medical excellence, combining clinical expertise with compassion. As part of the Main Line Healthcare family, our physicians collaborate with the hospitals and...

Stone Bridge Center for Health & RehabilitationWe are seeking a skilled Geriatric Healthcare Specialist to join our team as an Infection Preventionist. This is a unique opportunity to make a meaningful difference in the lives of our aging guests and those that love them.About UsAt Stone Bridge Center for Health & Rehabilitation, we pride ourselves on...

About This OpportunityWe are seeking a highly motivated Veterinary Assistant to join our Cardiology team at Newtown Veterinary Specialists. As a Veterinary Assistant, you will have the opportunity to work closely with experienced professionals, developing your skills and expertise in animal care and handling.Key ResponsibilitiesContribute to clinical...

About Buff City Soap CoWe're a leading manufacturer of handmade soap products, committed to creating nourishing and gentle products for our customers. Our mission is to provide exceptional customer service and promote a positive work environment.Job OverviewThis Sales Associate role will be responsible for providing excellent customer service, maintaining...

Description Professional Development Specialist RN @ Swedish Shared Services Full Time (40 Hour Week) Day and Night Shift (This position will support both day and night shift.) Openings for ICU, Med/Surg, Emergency Department $5,000 Hiring Bonus and relocation for eligible external candidates who meet all conditions for payment - this is in addition to the...

Job Title: Biotechnology Laboratory SpecialistAbout the RoleWe are seeking a highly skilled Biotechnology Laboratory Specialist to join our team at Genesis Global Group. As a Laboratory Specialist, you will play a critical role in supporting the research and development of innovative biotechnology solutions.Key Responsibilities:Assist in the design and...

Description Professional Development Specialist RN - Med/Surg Full time 1 FTE Day shift This positions supports the Transition to Practice of new graduate nurses as well as coordinating educational offerings to promote ongoing staff development. Relocation Assistance for eligible external candidates and Rehires who meet all conditions for payment - this is...

AAS Locum Tenens seeks a skilled Telehealth Geriatric Care Specialist to join our remote healthcare team. As an integral member of our interdisciplinary care team, this role focuses on delivering comprehensive care through telehealth platforms to ensure accessible and effective treatment for dementia patients and their caregivers.Key Responsibilities:Provide...

About the RoleWe are seeking a dedicated and compassionate Private Duty Nurse Specialist to join our team at Aveanna Healthcare.Job SummaryThe Licensed Practical Nurse (LPN/LVN) will be responsible for providing high-quality, patient-centered care in accordance with established care plans and physician orders.Key Responsibilities:Deliver and coordinate...

About the RoleWe are seeking an experienced Infection Preventionist to join our team at Stone Bridge Center for Health & Rehabilitation.This is a rewarding opportunity to make a meaningful difference in the lives of our residents and staff by developing, implementing, and monitoring infection prevention and control programs.ResponsibilitiesProvide oversight...

Job Quick Facts: • Specialty: Hematology & Oncology• Job Type: Locum Tenens• Facility Location: Seattle, WA• Service Setting: Inpatient/Outpatient• Reason For Need: Supplemental• Coverage Period: Dec 1, 2024 - Ongoing• Coverage Type: Clinical + Call• Shift Schedule: Mon-Fri; 8 hrs• Call Schedule: TBD• Call Type: Beeper• Call Response...

APP - Nurse Practitioner | Physician Assistant New Hyde Park, NY Why Join Us? At New York Cancer & Blood Specialists (NYCBS), we create an environment where dedicated professionals can thrive. Our team of expert oncologists, hematologists, and compassionate staff work across numerous locations with one shared mission: conquering cancer close to home. Through...