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

MEhVcTBKWmpuUWhpMjMwQ3hoem56eHB6L3c9PQ==
  • 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

PrimeDefense USA

Mason Job at PrimeDefense USA

 ...construction company in Los Angeles is seeking a skilled Mason to join our team.Qualifications Minimum of 3 years of experience in masonry work.Ability to communicate effectively in English.Responsibilities Laying bricks, stone, and concrete blocks.Mixing mortar.... 

US-Transport

Class A Regional Truck Driver Class A CDL Job Job at US-Transport

Class A Regional Truck Driver Class A CDL Job Have an active Class A CDL Minimum of 18 months of tractor-trailer experience Must be at least 23 years old or older... 

Supreme Court of the United States

Term Federal LEO: Residential Security Officer - Court Duty Job at Supreme Court of the United States

 ...A prestigious federal institution in Washington, D.C. is seeking candidates for a term position in the Residential Security Unit, open to eligible FERS and CSRS retirees who can reapply as federal annuitants. The role requires a successful completion of law enforcement... 

FirstHealth of the Carolinas

RN-New Grad Job at FirstHealth of the Carolinas

 ...New Graduate Rn Positions New graduate RN positions available in Med/Surg, and ER areas. Must be a graduate from an accredited ADN, BSN, MSN or diploma RN program. BCLS required. NC RN license or compact state license required. All new graduate RN's will be starting... 

Ares Enterprise

UI/UX Designer Job at Ares Enterprise

 ...Overview We are seeking a mission-focused UI/UX Designer to support a United States Department of Defense customer. This role supports the design, development, modernization, and sustainment of government websites, enterprise portals, and mission applications that enable...