LA Licensed Clinical Review Nurse

VirtualVocationsOxnard, California, United States

job_description.job_card.variable_hours_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 - Concurrent Review.

Key Responsibilities

Perform concurrent reviews to determine overall health and appropriate level of care for members

Review quality and continuity of care, including acuity level and discharge planning

Collaborate with healthcare providers and Medical Affairs to discuss member care and provide recommendations

Required Qualifications, Training, and Education

Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing

2 - 4 years of related experience, with 2+ years of acute care experience required

Knowledge of Medicare and Medicaid regulations preferred

Knowledge of utilization management processes preferred

LPN - Licensed Practical Nurse - State Licensure required

serp_jobs.job_alerts.create_a_job

Clinical Review Nurse • Oxnard, California, United States

Job_description.internal_linking.related_jobs

serp_jobs.job_card.promoted

Medication Tech

Belmont Village Thousand OaksThousand Oaks, CA

serp_jobs.job_card.full_time +1

Belmont Village Thousand Oaks -.Part Time Friday and Saturday AM Shift 6 : 30 am to 3 : 00 pm.Part Time Friday and Sunday PM Shift 2 : 30pm to 10 : 45pm. Belmont Village, you will assist residents living in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

South Carolina Licensed RN Reviewer

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.Key Responsibilities Conduct medical claim reviews for complex services and det...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Licensed RN Clinical Appeals Reviewer

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for an IBR Clinical Appeals Reviewer who will analyze and respond to client and hospital claim review appeal inquiries. Key Responsibilities : Analyze scope and resolution of I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Clinical Response Specialist

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Response Specialist - PRN.Key Responsibilities Assist patients, families, and providers in navigating the admissions process Complete intake calls and manage ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Senior Clinical Coordinator

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for a Senior Clinical Administrative Coordinator.Key Responsibilities Act as a Subject Matter Expert for team members Manage the intake of members with benefit reviews and i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Certified Medical Assistant

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

A company is looking for a Certified Medical Assistant to work remotely at a rate of $17 / hour starting on 11 / 13 / 25. Key Responsibilities Receive and respond to prescription refill requests through...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Clinical Support Specialist

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Support Specialist for the Pacific Region.Key Responsibilities Serve as the main point-of-contact for patients during their treatment and recovery process Pro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

RN Clinical Appeals Reviewer

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

A company is looking for an IBR Clinical Appeals Reviewer - Remote.Key Responsibilities Analyze and respond to IBR Appeals inquiries Perform medical record reviews and prepare written appeals C...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Pennsylvania Licensed Clinical Appeals Reviewer

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Appeals Reviewer.Key Responsibilities Process appeals while ensuring compliance with regulatory milestones Review medical records for documentation and billin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

California Licensed Review Nurse

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for a Pre-Service Review Nurse RN to work remotely in the Pacific or Mountain Time Zones.Key Responsibilities Conduct utilization management, including Prior Authorization Re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

State Licensed Utilization Review Nurse

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

A company is looking for a Utilization Review Nurse (PRN).Key Responsibilities Review and evaluate electronic medical records for emergency admissions to assess medical necessity Apply clinical ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Clinical Documentation Integrity Lead

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Documentation Integrity Lead - Service Line (Remote).Key Responsibilities Manage relationships between CDI and assigned service lines, collaborating with physi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Clinical Lead III - Rare Disease

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Lead III (Rare Disease) to join their Global Clinical Management team.Key Responsibilities Lead global clinical teams and enhance efficiencies across studies a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Patient Financial Navigator

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for a Patient Financial Navigator I.Key Responsibilities Ensure accurate patient medical records, including demographics and insurance coverage Provide financial education t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Arizona Licensed Clinical Coordinator

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Administrative Coordinator.Key Responsibilities Process all release of information (ROI) requests, ensuring compliance with regulations and client policies Pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Nurse Practitioner - Emergency Medicine

Team HealthThousand Oaks, California, US

serp_jobs.job_card.full_time

Nurse Practitioner - Emergency Medicine physician employment in California : TeamHealth has an excellent full-time opportunity for a physician assistant (PA) or nurse practitioner (NP) to join our ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Certified Coder Physician

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for a Coder Physician.Key Responsibilities Abstract, code, sequence, and interpret clinical information from various medical records Assign correct principal and secondary d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Medical Scribe

Rancho Health MSO, IncOxnard, CA, US

serp_jobs.job_card.full_time

The intent of this job description is to provide a summary of the major duties and responsibilities performed in this job. Incumbents may be requested to perform job-related tasks other than those s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30