Remote RN: Medical Appeals & Care Policy Reviewer Job at SPECTRAFORCE, California, MO

  • SPECTRAFORCE
  • California, MO

Job Description

SPECTRAFORCE is seeking a Clinical Appeals Specialist to handle member-generated appeal processes remotely from California. The role involves reviewing medical records and ensuring compliance with clinical policies. Ideal candidates will have strong managed care and clinical nursing experience, exceptional attention to detail, and effective communication skills. A California RN license and ADN are required. The position offers a competitive hourly rate of $45.00/hr. #J-18808-Ljbffr

Job Tags

Hourly pay, Remote work

Similar Jobs

Real Estate Education Rocks

Solar Consultant Job at Real Estate Education Rocks

 ...Welcome to Inspire Solar - Your Trusted Partner in Solar Energy.This is a full-time door-to-door role for a Solar Consultant located in the DFW and Houston area. As a Solar Consultant, you will be responsible for day-to-day tasks including solar industry research, lead... 

Albertsons

Night Crew Stocker Job at Albertsons

 ...facilities, and 19 manufacturing plants across 34 states and the District of Columbia. Our well-known banners include Albertsons, Safeway, Vons, Jewel-Osco, ACME, Shaw's, Tom Thumb, United Supermarkets, United Express, Randalls, Albertson's Market, Pavilions, Star Markets... 

SystImmune Inc.

Drug Safety Physician Job at SystImmune Inc.

 ...in developing innovative cancer treatments using its established drug development platforms, focusing on bi-specific, multi-specific...  ...individual is to lead medical assessment and interpretation of safety data from multiple sources, including clinical trials, and literature... 

Red Bull North America

Merchandiser (Part Time) Job at Red Bull North America

 ...be at least 18 years of age Experience merchandising is a plus Ability to lift and transport up to 25 pounds of inventory and/or advertising displays necessary English; additional languages an advantage Travel 0-10% Temporary Benefits eligible... 

Tunnell Government Services, Inc.

Pharmacovigilance Physician Job at Tunnell Government Services, Inc.

 ...and contact us.Title: Pharmacovigilance Physician (FTE)Location: Fredrick, MD (Hybrid- two...  ...weekends.Develop pre-market and post market safety plans.Surveillance plan(s) specific to...  ...but not limited to, Investigational New Drug application safety reports (MedWatch),...