Clinical Appeals Specialist

Job DescriptionThe Midtown Group is seeking a highly motivated and experienced Senior Clinical Appeals Specialist to join our team.This role requires strong clinical knowledge, excellent communication skills, and the ability to work independently in a fast-paced environment.Key Responsibilities:Participate in managing medical appeals and state hearing...

We are seeking a highly motivated and experienced Clinical Appeals Specialist to join our team at Equiliem Healthcare. This role involves participating in managing medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests.The ideal candidate will ensure appeals and state hearing requests are...

About the Position:">We are seeking a highly motivated and experienced Nurse Specialist to join our team at The Midtown Group. This individual will be responsible for managing medical appeals and state hearing reviews, ensuring that all cases are processed in accordance with regulations, compliance standards, and policies.">Job Summary:">The successful...

Job Title: Complaint Resolution SpecialistJob Description:The Midtown Group is seeking a highly motivated and experienced Complaint Resolution Specialist to join our team. This role will be responsible for assisting with specialized services relevant to the Grievance and Appeals Resolution Services (GARS) department.About the Job:This is a challenging...

Compelling Opportunity for a Clinical Nurse Specialist at the University of California, IrvineWe are seeking an exceptional Clinical Nurse Specialist to join our team at the University of California, Irvine.This is an outstanding opportunity to make a meaningful impact in patient care and contribute to the growth and development of our clinical team. The...

Kaiser Permanente is a leading not-for-profit healthcare provider seeking an experienced Clinical Communication Specialist to join our team in Orange, California. As a key member of our Home Health department, you will play a vital role in evaluating, diagnosing, and developing therapy programs for patients with communication disorders.**Key...

We are seeking an experienced Registered Nurse to join our team at Della Infotech, Inc. as a Clinical Care Specialist. This role requires a strong background in Labor and Delivery (L&D) nursing with a minimum of 2 years of experience, preferably 3 years.The ideal candidate will have certification in BLS, ACLS, NRP, AWHONN Intermediate, and AWHONN Advanced....

We are seeking a Medical Specialist to join our team in Orange, California. As a Generalist in Clinical and Anatomical Pathology, you will be responsible for diagnosing and treating various diseases.Job DescriptionAs a Medical Specialist, your primary role will be to work with patients, analyzing lab results and performing biopsies to determine the presence...

Job SummaryWe are seeking a highly skilled Seafood Product Specialist to join our team at Whole Foods Market. The successful candidate will be responsible for managing the seafood department, ensuring high-quality products, and providing exceptional customer service.Main ResponsibilitiesProduct Management: Replenish seafood products, maintain inventory...

Job Title: Radiation Oncology Clinical Nurse SpecialistAbout the JobProvidence Saint Joseph Hospital Orange is seeking a skilled RN to fill this 13-week travel nursing opportunity in their radiation oncology department. As a clinical nurse specialist, you will be responsible for providing high-quality patient care and contributing to the hospital's mission...

About KPC HealthKPC Health is a dynamic and patient-centered healthcare organization committed to delivering high-quality care to our community.Salary: $110,000 - $130,000 per annumJob DescriptionThe Clinical Nursing Specialist will play a crucial role in the PACU team, responsible for providing exceptional patient care and ensuring seamless transitions...

Are you a dedicated and compassionate Registered Nurse looking to take your career to the next level? Do you have a passion for delivering exceptional patient care in an ICU setting?We are seeking a highly skilled Clinical Nurse Specialist to join our team at Providence Saint Joseph Hospital. As a key member of our ICU team, you will play a vital role in...

Job OverviewWe are seeking a highly skilled Adult Congenital Heart Disease (ACHD) Specialist to join our team at the Ahmanson/UCLA Adult Congenital Heart Disease Center. As part of our consolidated program, you will work closely with our existing ACHD specialists to deliver high-quality outpatient care to a growing population of approximately 3000 adult...

Job SummaryPacific Companies, Inc. is seeking a highly skilled Medical Director to lead our team of Anatomical and Clinical Pathology specialists in Orange, California. As a seasoned professional, you will be responsible for overseeing the clinical and anatomical pathology generalist services, with a focus on breast, lung, and frozen sections.About the...

Job Overview:CHOC Children's Hospital, a leading pediatric healthcare provider in Orange County, California, seeks a skilled Neonatologist to join its renowned Division of Neonatology. As a board-certified/eligible neonatologist, you will be part of a well-established group of 70 experts providing high-quality care at the regional 100-bed level 4 NICU at...

We are seeking a talented physician to join our team as a Health Sciences Clinical Professor in Maternal-Fetal Medicine at the University of California, Irvine.About the PositionThis is an exceptional opportunity for a board-certified or board-eligible Maternal-Fetal Medicine specialist to contribute to our academic department and provide high-quality...

OverviewThe University of California, Irvine (UCI) is seeking a highly skilled Clinical Lab Scientist- Blood Bank Specialist to join our team. As a key member of our laboratory staff, you will be responsible for performing a wide range of laboratory tests and providing data for use in the detection, diagnosis, and treatment of disease.About UCI HealthUCI...

Job OverviewWe are seeking a highly skilled Clinical Educator and Perioperative Services Specialist to join our team at the University of California, Irvine. This role will be responsible for managing staff development, continuous quality improvement, and medical staff orientation programs for Perioperative Services.About the RoleThe ideal candidate will...

A career opportunity is available for a Clinical Pharmacy Specialist to join our team at AmeriPharma in Orange, CA. As a key member of our team, you will be responsible for maintaining accurate and complete patient records, transmitting documents as requested, and performing various administrative duties.Job Summary: The ideal candidate will possess...

About Newport HealthcareNewport Healthcare is a nationwide behavioral healthcare organization dedicated to transforming young lives through evidence-based care. Our mission is to provide compassionate and authentic connection, mutual respect, and unconditional love in our facilities. We believe that every individual deserves access to high-quality mental...