1 - 17 of 17 Jobs

Clinical Appeals LVN

TEKsystems c/o Allegis Group

San Bernardino, California, USA

Full-time

Description We are seeking a dedicated Clinical Appeals Nurse to join our Revenue Cycle Management team. The ideal candidate will be responsible for managing clinical denials related to medical necessity, level of care, and delays in service. This role involves reviewing medical records, preparing clinical documentation to support appeals, and following up on submitted appeals. The Clinical Appeals Specialist will work closely with a team of Licensed Vocational Nurses (LVNs) and Registered Nurse

Medical Case Manager (LVN) (Long-Term Care)

CalOptima

Orange, California, USA

Full-time

Medical Case Manager (LVN) (Long-Term Care) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager (LVN) (LTC) to join our team. The Medical Case Manager (LVN) for Long Term Care (LTC) is responsible for reviewing and processing requests for authorization and notification of LTC Skilled Nursing Facilities. The incumbent will be responsible for inpatient review and referral related processes which include on-line responsibilities as well as selected off-line

LVN Discharge Planner, Care Management, Full time, Days

PIH Health

Los Angeles, California, USA

Full-time

The LVN Discharge Planner provides discharge planning by collaboratively determining level of care needs beyond acute care, providing decision support to patients and families and physicians, managing patient and family expectations and ensuring a smooth transition to the next level of care and services. Assure that patients and families proceed efficiently throughout the course of hospitalization. The LVN Discharge Planner assists in the appropriate utilization of hospital services, maximizing

In Home Healthcare LVN - Full-Time Nights (Uvalde)

Aveanna Healthcare

Uvalde, Texas, USA

Full-time

Join a Company That Puts People First! Licensed Practical / Vocational Nurse ? LPN/LVN Full-Time Night Shifts **Sign on Bonus up to $2,000** Schedules: Sunday-Wednesday or Thursday-Saturday (7pm-7am) Location/Setting: Uvalde, TX Age Range: Toddler- Teenager Acuity: Low Acuity & High Acuity We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we?re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our t

Aveanna Health Care LVN:Full Time/Part Time Days

Aveanna Healthcare

New Braunfels, Texas, USA

Full-time

Join a Company That Puts People First! Licensed Vocational/Practical Nurse ? LVN/LPN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we?re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here?s what sets us apart: We currently have patients and openings in: New Braunfels TX 78130Surrounding AreasAward-Winning Culture Indeed?s Work Wellbeing Top 100 Company i

Clinical Quality Audit Specialist

Talent Groups

Remote

Contract, Third Party

Title: Clinical Quality Audit Specialist Location: Minneapolis, MN Remote Contract Job Description: 3+ years clinical EHR experience Working knowledge of ICD-10 codes Comprehensive knowledge of medical terminology Effective written, verbal, and electronic communication skills Ability to communicate effectively with diverse population Attention to detail and ability to proficiently read and interpret medical records Ability to define problems, collect data, establish facts and draw conclusions; m

Overnight LPN

Aveanna Healthcare

Dover, Delaware, USA

Full-time

Join a Company That Puts People First! Licensed Practical / Vocational Nurse ? LPN/LVN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we?re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here?s what sets us apart: Award-Winning Culture Indeed?s Work Wellbeing Top 100 Company in 2024Best Company for Work-Life Balance, Happiest Employees and Culture and Best

Overnight LPN

Aveanna Healthcare

Milford, Delaware, USA

Full-time

Join a Company That Puts People First! Licensed Practical / Vocational Nurse ? LPN/LVN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we?re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here?s what sets us apart: Award-Winning Culture Indeed?s Work Wellbeing Top 100 Company in 2024Best Company for Work-Life Balance, Happiest Employees and Culture and Best

Overnight LPN

Aveanna Healthcare

Georgetown, Delaware, USA

Full-time

We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we?re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here?s what sets us apart: Award-Winning Culture Indeed?s Work Wellbeing Top 100 Company in 2024Best Company for Work-Life Balance, Happiest Employees and Culture and Best CEO in 2024, as ranked by ComparablyWhy Join Us? Health, Dental, Vision and Company-Pa

Aveanna Healthcare LPN: Low Acuity (Weekends)

Aveanna Healthcare

Denham Springs, Louisiana, USA

Full-time

Join a Company That Puts People First! Licensed Practical / Vocational Nurse ? LPN/LVN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we?re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here?s what sets us apart: We currently have patients and openings in: Denham SpringsPonchatoulaBaton RougeSurrounding Areas Award-Winning Culture Indeed?s Work Wellbeing

Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs)

Centific Global Solutions

Remote

Full-time

Job Description: We are looking for Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) to support a data annotation initiative. Requirements: Valid LPN/LVN certificationStrong written communication skills in EnglishComfortable working in a digital environmentProficiency in Microsoft Office tools: Word, Excel, OutlookStrong attention to detail and ability to follow complex guidelinesPrior experience with medical data annotation or EMR systems is a plusLocation: Remote (USA) Emp

Clinical Informaticist

Talent Groups

Remote

Third Party, Contract

The Clinical Informaticist will be responsible for interpreting clinical policies authored by Health Plans and CMS; and building models to automate them. This role will require the new hire to collaborate on the design with clinicians (MDs, Nurses) and technical engineers. This person will then act as the Development team liaison throughout the engineering process. Interacting with Doctors/NursesKnowledge of Medical codes, CPT codes etc.Good Clinical experienceIT experience as BA and interactin

Health Center Manager RN

Premise Health

Northbrook, Illinois, USA

Full-time

Healthcare Without Rival New to working in Employer Health? Premise Health serves large organizations and their employees with exceptional healthcare. Our mission is to help others get, stay, and be well. Come join us and make a difference. Visit premisehealth.com to learn more about us and what we do. Premise offers a wide range of dynamic, purpose-driven career opportunities. We are currently looking for a Full-Time Health Center Manager RN to join our team in Northbrook, IL. Full-Time, Monda

LTSS Service Care Manager

Pyramid Consulting, Inc.

Remote

Contract

Immediate need for a talented LTSS Service Care Manager. This is a 03+months contract opportunity with long-term potential and is located in Carrizo Springs/Crystal City area(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-68665 Pay Range: $22 - $26.50/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Loca

Clinical Quality Audit Specialist

Talent Groups

Remote

Contract

Job Description: 3+ years clinical EHR experience Working knowledge of ICD-10 codes Comprehensive knowledge of medical terminology Effective written, verbal, and electronic communication skills Ability to communicate effectively with diverse population Attention to detail and ability to proficiently read and interpret medical records Ability to define problems, collect data, establish facts and draw conclusions; must be able to think logically and critically Strong organizational, prioritization

Clinical Auditor Sr

CalOptima

Orange, California, USA

Full-time

Clinical Auditor Sr CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor Sr to join our team. The Clinical Auditor Sr (Behavior Health) will serve as the auditor for clinical and quality areas within the Behavioral Health Integration department. The incumbent will ensure regulatory (Medicare and Medi-Cal) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, moni

Clinical Auditor Sr

CalOptima

Orange, California, USA

Full-time

Clinical Auditor Sr CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor Sr to join our team. The Clinical Auditor Sr (Behavior Health) will serve as the auditor for clinical and quality areas within the Behavioral Health Integration department. The incumbent will ensure regulatory (Medicare and Medi-Cal) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, moni