C
Manager, Clinical Appeals
CareSource
United States (Remote)
$83–132.8K / year
Job Summary: The Manager, Clinical Appeals is responsible for the oversight of all clinical appeals activities ensuring consistency of services and…
6 days ago
12 Healthcare Compliance Standards jobs
Showing 1–12 of 12 jobs
S
United States (Remote)
$50.00 / hour
POSITION: The Northeast Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…
6 mo. ago
CC
Clinical Appeals Coordinator
Centene Corporation
United States (Remote)
$34.00 – $61.00 / hour
Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.
4 days ago
G
United States (Remote)
$70–75K / year
The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state…
2 mo. ago
CC
Supervisor, Utilization Management
Centene Corporation
United States (Remote)
$75.3–135.4K / year
Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members.
4 wk. ago
S
United States (Remote)
$50.00 / hour
POSITION: The West Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…
6 mo. ago
S
United States (Remote)
$50.00 / hour
POSITION: The Southwest Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…
6 mo. ago
S
United States (Remote)
$50.00 / hour
POSITION: The Midwest Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…
6 mo. ago
S
United States (Remote)
$50.00 / hour
POSITION: The Southeast Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…
6 mo. ago
S
United States (Remote)
$50.00 / hour
POSITION: The 50 State Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with SimpliFed's…
6 mo. ago
H
Temporary A&G RN
HealthEdge
United States (Remote)
Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…
4 days ago
AB
RN Utilization Management
Arkansas Blue Cross
United States (Remote)
$66.3–84K / year
To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here .
6 days ago