- TEKsystems (San Bernardino, CA)
- Description We are seeking a dedicated Clinical Appeals Nurse to join our Revenue Cycle Management team. The ideal candidate will be responsible for managing ... documentation to support appeals , and following up on submitted appeals . The Clinical Appeals Specialist will work closely with a team of Licensed… more
- Dignity Health (Rancho Cordova, CA)
- **Job Summary and Responsibilities** The Appeals and Grievances LVN is a critical role responsible for managing and resolving all medical necessity appeal ... government entities. This individual acts as a primary liaison for clinical denials, navigating appeal processes through all delegated levels. Key responsibilities… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN /LPT $31.50-37.50 Per Hour RN/LCSW/LMFT/LPCC $54.00-64.00 Per Hour REPORTS TO: ... ensure that extended stays are medically justified. + Payment Appeals : Prepare and submit appeals to third...Treatment Team on a daily basis and collaborate with clinical team to answer clinical questions related… more