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Clinical Denials and Appeals RN
Business Opportunities · Virtualvocations · North Hollywood, CAA company is looking for a Clinical Denials and Appeals RN - Remote. Key Responsibilities Conduct medical necessity reviews and ensure documentation integrity Construct warranted appeals and coordinate pre-service authorization approvals ...TopUSAJobs.com ·4 days ago on TopUSAJobs -
Registered Nurse Records Review
Business Opportunities · Virtualvocations · North Hollywood, CAA company is looking for a Records Review/Prepayment Nurse to perform complex medical record reviews and compliance assessments. Key Responsibilities Obtain, review, and analyze medical records for compliance with policies Document review ...TopUSAJobs.com ·4 days ago on TopUSAJobs -
RN Care Manager - MI
Business Opportunities · Virtualvocations · Irvine, CAA company is looking for a Care Manager (RN) to develop and facilitate complex care management activities for members with physical needs. Key Responsibilities Evaluate member needs and barriers to care, recommending personalized care plans ...TopUSAJobs.com ·1 week ago on TopUSAJobs -
Remote Bilingual RN New York Licensed
Business Opportunities · Virtualvocations · Irvine, CAA company is looking for a Registered Nurse (RN) for a remote Telehealth/Virtual position. Key Responsibilities Conduct assessments and gather data for patient care coordination and discharge planning Collaborate with healthcare providers t...TopUSAJobs.com ·1 week ago on TopUSAJobs -
RN Supervisor Care Management
Business Opportunities · Virtualvocations · Long Beach, CAA company is looking for a Supervisor, Care Management (RN) to oversee the care management team and ensure quality care delivery for members. Key Responsibilities Supervise day-to-day operations and escalations related to care management for...TopUSAJobs.com ·1 week ago on TopUSAJobs