serp_jobs.error_messages.no_longer_accepting
Virginia Licensed Lead Clinical Reviewer
VirtualVocationsNewark, New Jersey, United Statesjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Lead Clinical Reviewer to join their team.
Key Responsibilities
Review medical records against criteria to determine medical appropriateness
Guide team members and support training and documentation efforts
Conduct quality monitoring and audits, identifying areas for improvement
Required Qualifications
Active and unrestricted license as a Mental Health Professional in Virginia
Master's degree from an accredited college in a relevant program
2+ years of experience in Prior Authorization, Utilization Review, or Utilization Management
serp_jobs.job_alerts.create_a_job
Clinical Lead • Newark, New Jersey, United States
Job_description.internal_linking.related_jobs
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Aveanna is compassion and passion rolled into one inspired purpose.It’s anything you want to find and everything you’re looking for.
It’s a place where caring is more personal beca...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Join VillageCare as a Full Time.This role offers the chance to apply your expertise in a customer-focused healthcare setting while being a crucial part of a dynamic, forward-thinking team.With a co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Job Type : Officer of Administration.The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, e...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
We make a difference in people’s lives by supporting their life goals - our employees and the people we serve alike.We invest in our employees through competitive compensation and benefits, b...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
This role is an onsite position in one of our office locations.The Senior Clinical Study Lead (CSL) is expected to operate with a high degree of independence and is accountable for the global execu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Job Type : Officer of Administration.The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, e...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Director, Clinical Trial Management.The Director of Clinical Trial Management is responsible for leading and overseeing the clinical monitoring aspects of clinical trials from study design through ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Job Type : Officer of Administration.Salary Range : $90,000 - $105,000.The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to depart...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.
The work you do here impacts the lives of millions of people ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Water Street, New York, NY 10004.Review medical records and healthcare claims to determine the accuracy and compliance of billed codes with appropriate regulations, standards, policies and procedur...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Job Type : Officer of Administration.Salary Range : $110,000 - $115,000.The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to depar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 )
Director Of Clinical Trial Management.The Director Of Clinical Trial Management is responsible for leading and overseeing the clinical monitoring aspects of clinical trials from study design throug...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At BAYADA Home Health Care, we are committed to providing compassionate, high-quality, and family-centered pediatric home care services.
Our mission is to support families and ensure that every chil...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
To ensure overall responsibility for one or more nursing units and assure the highest degree of quality resident care is maintained at all times.
Ensures that all Residents Rights are adhered to by ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Job Type : Officer of Administration.Salary Range : $90,000 - $105,000.The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to depart...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
Data Reviewer IIINew Brunswick, NJ.With minimal direction from management, this individual : .Performs critical in-depth review of all scientific data for Quality Control laboratory documents (includ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare.As such, we are a leading authority in payment integrity solutions including D...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
Inpatient DRG Reviewer
Zelis Healthcare, LLCMorristown, NJ, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Sr. Supervisor, Clinical Chart Review
Zelis Healthcare, LLCMorristown, NJ, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Director - Home Care - RN
Aveanna HealthcareClark, NJ, USserp_jobs.job_card.full_time
UAS RN Reviewer
Village CareNew York, NY, USAserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Clinical Coordinator II / RN
Columbia UniversityNew York, NY, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Supervisor-Licensed
Bridgeway Behavioral Health ServicesSomerville, NJ, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Manager Clinical Study Lead (Oncology)
RegeneronWarren, NJ, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Coordinator III - RN
Columbia UniversityNew York, NY, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Inpatient DRG Sr. Reviewer
Zelis Healthcare, LLCMorristown, NJ, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Director, Clinical Trial ManagementNew York, NY
Formation BioNew York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Coordinator II - RN
Columbia UniversityNew York, NY, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Clinical Coordinator - Field Based in Essex and Surrounding Counties - New Jersey
UnitedHealth GroupNewark, NJ, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN, Chart Reviewer
ProKatchers LLCNew York, NY, USserp_jobs.job_card.temporary
- serp_jobs.job_card.promoted
Clinical Coordinator II / RN
Columbia UniversityNew York, NY, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Director, Clinical Trial ManagementNew York, NY
Formation Bio (Formerly TrailSpark)New York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Clinical Manager
BAYADA Home Health CareNew York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Manager
BronxCare Health SystemBronx, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Coordinator I - RN
Columbia UniversityNew York, NY, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Data Reviewer III (New Brunswick)
ClinLab StaffingNew Brunswick, NJ, USserp_jobs.job_card.part_time
DRG (Coding) Reviewer
MedReviewnew york, NY, USserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply