• Clinical Appeals Supervisor

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process ... and serves as a resource for associates within the Clinical Appeals and Analysis unit. We are...who is willing and able to work in a hybrid model. The incumbent will be expected to work… more
    CareFirst (10/15/25)
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  • Psychologist I - Forensic Evaluator - Statewide…

    State of Colorado (Denver, CO)
    PSYCHOLOGIST I - Forensic Evaluator - Statewide ( Hybrid ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5001467) Apply  PSYCHOLOGIST I - ... Forensic Evaluator - Statewide ( Hybrid ) Salary $7,945.00 - $9,534.00 Monthly Location Denver, CO...to inform their opinion and seeks consultation from their supervisor or colleagues on difficult, complex, or ambiguous cases.… more
    State of Colorado (10/11/25)
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  • Health Professional V- Forensic Community Based…

    State of Colorado (CO)
    …V- Forensic Community Based Services Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5122128) Apply  Health Professional ... V- Forensic Community Based Services Supervisor Salary $78,684.00 - $110,160.00 Annually Location Statewide, CO Job Type Full Time Job Number IIB-03507 10/24/25… more
    State of Colorado (10/25/25)
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  • Certified Coding Supervisor - Health…

    Ventura County (Ventura, CA)
    Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply  Certified Coding ... Supervisor - Health Information Management Salary $94,952.15 - $132,946.07...Information Management (HIM) department related to coding and CDI ( clinical documentation improvement). The ideal candidate will have a… more
    Ventura County (08/25/25)
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  • Supervisor , Payment Integrity

    Centene Corporation (Jefferson City, MO)
    …fresh perspective on workplace flexibility. **Position Purpose:** Responsible for leading clinical coding compliance nurses and non- clinical team members through ... + Identifies and implements best practices and operational efficiencies + Researches clinical and coding questions and issues + Triages and resolves escalated health… more
    Centene Corporation (09/27/25)
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  • Chronic Disease Sustainability and Policy…

    State of Colorado (Denver, CO)
    …be filled by multiple positions and may be extended. This position will have a hybrid workplace options available but will still be required to report to the listed ... address at the discretion of the supervisor and based on business need. Although the full salary range for this position is provided, appointments are typically made… more
    State of Colorado (10/25/25)
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  • Registered Nurse Health Compliance Inspector Home…

    State of Colorado (Denver, CO)
    …As a Registered Nurse (RN) Health Professional III , you will use your clinical expertise to ensure quality of care, protect patient rights, and promote excellence ... with state and federal standards; + Assessing nursing and clinical services for adherence to accepted professional practice; +...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel… more
    State of Colorado (10/25/25)
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  • Program Manager II- Director of Training, Court…

    State of Colorado (CO)
    …from residents and non-residents of Colorado. Primary Physical Work Address This is a Hybrid position with two days in office at: 1600 W 24th Street, Pueblo, CO ... Description of Job The current schedule will be a hybrid work arrangement (remote work and report on-site 2...training, supervises the Psychologist II, serves as a second-level supervisor to all fellows, is responsible for the performance… more
    State of Colorado (10/15/25)
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  • Psychologist I -Juvenile Forensic Evaluator

    State of Colorado (CO)
    …and competencies necessary to the position through continuing education, clinical supervision, literature review, and discipline and team development. This ... Description of Job The current schedule will be a hybrid work arrangement (remote work and report on-site 2...to inform their opinion and seeks consultation from their supervisor or colleagues on difficult, complex, or ambiguous cases.… more
    State of Colorado (10/08/25)
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  • Psychologist I - Evaluator Court Services - Pueblo

    State of Colorado (CO)
    …to receive text message updates on CDHS recruiting events! CDHSCareers Description of Job Hybrid Work: This position is required to report to the office at least 2x ... and competencies necessary to the position through continuing education, clinical supervision, literature review, and discipline and team development. This… more
    State of Colorado (08/30/25)
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  • Registered Nurse, Health Compliance Inspector,…

    State of Colorado (Denver, CO)
    …using basic software applications, and communicating through email is required. + Non- clinical or clinical health care experience, preferably in an assisted ... to use current communication technology. + Ability to analyze and interpret clinical evidence and observe, record, and interpret information. + Ability to perform… more
    State of Colorado (10/23/25)
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  • Nurse Practitioner Fellow (Gastroenterology)…

    Johns Hopkins University (Baltimore, MD)
    …training courses. + Other duties may be assigned by the employee's immediate clinical supervisor , Assistant Administrator for the division, or a healthcare ... 12-month training program designed to provide advanced didactic education and focused clinical experiences so that graduates have the skills and knowledge to provide… more
    Johns Hopkins University (08/22/25)
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  • Grand Junction, Co* LPN or RN Health Compliance…

    State of Colorado (Grand Junction, CO)
    …of Employment: + A pre-employment background check. + This position will have hybrid workplace options available but will still be required to report to the ... listed address at the discretion of the supervisor and based on business need. *Please note: These...current communication technology. + Ability to analyze and interpret clinical evidence and observe, record, and interpret information. +… more
    State of Colorado (10/07/25)
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  • Nurse Practitioner (DOM Gastroenterology) - #Staff

    Johns Hopkins University (Baltimore, MD)
    …training courses. + Other duties may be assigned by the employee's immediate clinical supervisor , Assistant Administrator for the Division, or a healthcare ... receiving ongoing care. + Assist with medication prior authorizations and appeals . + Assist Medical Office Coordinators with procedure pre-authorizations as needed.… more
    Johns Hopkins University (08/02/25)
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  • Registered Nurse Health Compliance Inspector,…

    State of Colorado (Denver, CO)
    …using basic software applications, and communicating through email is required. + Non- clinical or clinical health care experience, preferably in an acute ... to use current communication technology. + Ability to analyze and interpret clinical evidence and observe, record, and interpret information. + Ability to perform… more
    State of Colorado (10/24/25)
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  • Health Compliance Inspector, Assisted Living…

    State of Colorado (Denver, CO)
    …using basic software applications, and communicating through email is required. + Non- clinical or clinical health care experience, preferably in an assisted ... to use current communication technology. + Ability to analyze and interpret clinical evidence and observe, record, and interpret information. + Ability to perform… more
    State of Colorado (10/23/25)
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  • Health Compliance Inspector, Home Care Services…

    State of Colorado (Denver, CO)
    …registered nurse member of the survey team , you will apply your clinical expertise to evaluate compliance with state and federal regulations, conduct medication ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information A… more
    State of Colorado (10/23/25)
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