perspective on workplace flexibility. Position Purpose: Performs clinical reviews needed to resolve and process appeals... to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices Performs...
Optum CA is seeking a Claims Review Manager RN to join our team in San Diego, CA. Optum is a clinician-led care... be an integral part of our vision to make healthcare better for everyone. At Optum, you’ll have the clinical resources, data...
reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting... clinical experience in a psychiatric or mental health setting. Licensure: RN, LCSW, MFT, or MSW degree. Additional...
reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting... clinical experience in a psychiatric or mental health setting. Licensure: RN, LCSW, MFT, or MSW degree. Additional...
feedback to the clinical management regarding clinician documentation, risk management, and compliance audit findings...Clinical Quality Nurse Specialist 40hrs/week If you are longing to put everything you’ve learned as a nurse...