Oregon Licensed Clinical Review NurseVirtualVocations • Moreno Valley, California, United States
Oregon Licensed Clinical Review Nurse
VirtualVocations • Moreno Valley, California, United States
job_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 Clinical Review Nurse - Prior Authorization.
Key Responsibilities
Review both prior authorization (PA) and inpatient (IP) requests
Complete up to 20 authorization reviews per day
Required Qualifications
At least 2 years of Prior Authorization or Inpatient Authorization review experience
Active Oregon license as an RN or LPN
Willingness to work a flexible schedule including 1 weekend per month and a few holidays per year
Ability to work well independently and as part of a team
serp_jobs.job_alerts.create_a_job
Clinical Review Nurse • Moreno Valley, California, United States
Job_description.internal_linking.related_jobs A company is looking for a Clinical Program Coordinator RN, Medicare / Medicaid who will provide care coordination and case management services to members.
Key Responsibilities Provide care coordi...serp_jobs.internal_linking.show_more 
These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the way that care is delivered.
Skilled Wound Care is looking for a.RN...serp_jobs.internal_linking.show_more A company is looking for a Clinical Program Coordinator RN, Medicare / Medicaid who will provide care coordination and management services for members.
Key Responsibilities Provide care coordinati...serp_jobs.internal_linking.show_more A company is looking for a DRG Clinical Validation Nurse.Key Responsibilities : Perform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical reco...serp_jobs.internal_linking.show_more A company is looking for a Clinical Documentation Specialist, REMOTE.Key Responsibilities Ensure the accuracy and completeness of clinical documentation through extensive record reviews and inter...serp_jobs.internal_linking.show_more A company is looking for a Telephonic Nurse Case Manager to manage medical claims and coordinate care for injured workers.
Key Responsibilities Provide telephonic case management in a Workers' Com...serp_jobs.internal_linking.show_more A company is looking for an RN Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to determine overall health and appropriate level of care for members Re...serp_jobs.internal_linking.show_more A company is looking for a Michigan Utilization Review Nurse - LPN (100% Remote).Key Responsibilities Perform Utilization Review to determine the medical necessity of services for Michigan Auto N...serp_jobs.internal_linking.show_more A company is looking for a Clinical Content Manager to lead the strategy and development of clinical content across various formats.
Key Responsibilities Create high-quality clinical content for m...serp_jobs.internal_linking.show_more A company is looking for a Clinical Review Nurse - Prior Authorization.Key Responsibilities Review both prior authorization (PA) and inpatient (IP) requests Complete up to 20 authorization revie...serp_jobs.internal_linking.show_more A company is looking for a Clinical Supervisor - PAC - UM EOS.Key Responsibilities Supervise and provide leadership to the Post-Acute Care team, ensuring timely completion of tasks Act as the le...serp_jobs.internal_linking.show_more A company is looking for a Manager of Clinical Review to oversee clinical operations and ensure high-quality patient care.
Key Responsibilities Monitor quality of care and compliance with policies...serp_jobs.internal_linking.show_more A company is looking for a Manager, Clinical Policy to join their Clinical Policy team.Key Responsibilities Evaluate vendor policy sets for compliance with internal and external medical standards...serp_jobs.internal_linking.show_more A company is looking for a Registered Nurse II - Case Manager.Key Responsibilities Manage continuity of care for beneficiary populations through comprehensive assessments and care planning Coord...serp_jobs.internal_linking.show_more A company is looking for a Registered Nurse - TeleNurse (12 Hours / Week).Key Responsibilities Triage incoming patient calls and apply the Nursing Process for assessment and evaluation Identify em...serp_jobs.internal_linking.show_more A company is looking for a Clinical Audit Lead.Key Responsibilities Supervises teams to ensure compliance with laws, regulations, and organizational policies Implements measures to mitigate risk...serp_jobs.internal_linking.show_more A company is looking for an Out of Network (OON) Clinical Case Manager (CM) - Remote (CA Only) - Per diem - Variable.Key Responsibilities Coordinate quality healthcare services in out of network ...serp_jobs.internal_linking.show_more A company is looking for a Clinical Specialist to join their remote team.Key Responsibilities Utilize motivational interviewing techniques to engage patients in services Complete necessary docum...serp_jobs.internal_linking.show_more A company is looking for a Clinical Reviewer of Behavioral Health.Key Responsibilities Review medical records to determine medical appropriateness based on contract requirements Monitor and adju...serp_jobs.internal_linking.show_more A company is looking for a Nurse Practitioner for a remote position in Oregon.Key Responsibilities Complete comprehensive health assessments for complex patients Manage complex patients to reduc...serp_jobs.internal_linking.show_more
Oregon Licensed Clinical Program Coordinator RN
VirtualVocations • Corona, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN / LVN Regional Clinical Liaison - Riverside, CA
Skilled Wound Care • Riverside, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Washington Licensed Clinical Program Coordinator RN
VirtualVocations • San Bernardino, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
New York Licensed Clinical Validation Nurse
VirtualVocations • Riverside, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Georgia Licensed Clinical Documentation Specialist
VirtualVocations • Ontario, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Florida Licensed Nurse Case Manager
VirtualVocations • Mission Viejo, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
New York RN Clinical Review Nurse
VirtualVocations • Moreno Valley, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Michigan Licensed Utilization Review Nurse
VirtualVocations • Mission Viejo, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
State Licensed Clinical Content Manager
VirtualVocations • Moreno Valley, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Oregon Licensed Clinical Review Nurse
VirtualVocations • Ontario, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Clinical Supervisor
VirtualVocations • Riverside, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
RN Clinical Review Manager
VirtualVocations • Mission Viejo, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Georgia Licensed Clinical Policy Manager
VirtualVocations • Mission Viejo, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Texas Licensed Case Manager Nurse
VirtualVocations • Fontana, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Illinois Licensed TeleNurse
VirtualVocations • Ontario, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Clinical Audit Lead
VirtualVocations • Irvine, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
California Licensed Clinical Case Manager
VirtualVocations • Riverside, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Florida Licensed Clinical Specialist
VirtualVocations • Ontario, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Licensed Clinical Reviewer
VirtualVocations • Corona, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Oregon Licensed Nurse Practitioner
VirtualVocations • Mission Viejo, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted