Texas Licensed Clinical Review Nurse
VirtualVocationsNewport News, Virginia, United Statesjob_description.job_card.30_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 - Concurrent Review.
Key Responsibilities
Perform concurrent reviews to assess member health and appropriate level of care
Review quality and continuity of care, including acuity levels and discharge planning
Collaborate with healthcare providers and Medical Affairs on care determinations and 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 in acute care required
Compact RN or LVN / LPN License required
Knowledge of Medicare and Medicaid regulations preferred
Familiarity with utilization management processes preferred
serp_jobs.job_alerts.create_a_job
Clinical Review Nurse • Newport News, Virginia, United States
Job_description.internal_linking.related_jobs
TravelNurseSource is working with LRS Healthcare to find a qualified OR RN in Lynchburg, Virginia, 24501!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 2...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 TravelNurseSource is working with LRS Healthcare to find a qualified Oncology RN in Lynchburg, Virginia, 24501!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pack...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Preservice Review Nurse RN - Remote.Key Responsibilities Perform clinical coverage review services, interpreting state and federal mandates and clinical information Co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Nurse Itemized Bill Reviewer (IBR Analyst).Key Responsibilities Perform in-depth reviews of medical claims using UB-04 and itemized statements Verify accuracy of itemi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a VP, Clinical Services to provide leadership and oversight for Clinical Services and Casualty departments.
Key Responsibilities Oversee all Clinical Services functions an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Clinical Manager - Part-Time.Key Responsibilities Report directly to the Director of Therapy and manage a cohort of providers Maintain a clinical caseload and engage i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Bilingual Registered Nurse (RN) to work from home.Key Responsibilities Provide telehealth and virtual care clinical triage assessments and health education to patients ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Nurse Reviewer.Key Responsibilities Conduct initial assessments of documentation from both initiating and responding parties Review submitted documentation to identify...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Telehealth Nurse Practitioner for a virtual women's health clinic.Key Responsibilities Provide direct patient care during virtual clinic visits and follow-up work Revi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Perform concurrent reviews to assess member health and appropriate level of care Review quality and cont...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 TravelNurseSource is working with LRS Healthcare to find a qualified Oncology RN in Lynchburg, Virginia, 24501!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pack...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Clinical Documentation Specialist RN.Key Responsibilities Conducts concurrent reviews of clinical documentation in medical records to ensure compliance and accuracy for...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a LOS Clinical Review Coordinator for TN and MO.Key Responsibilities Request and review member's clinical information from providers Perform utilization review of inpati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Concurrent Review Nurse (RN) (Temporary).Key Responsibilities Performs concurrent, post-service, and retrospective reviews of acute in-patient care services using estab...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Manager, Vendor Clinical Policy to join their Clinical Policy team.Key Responsibilities Evaluate vendor policy sets to ensure compliance with internal and external medi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Clinical Review Manager to oversee clinical information and ensure appropriate care for members.
Key Responsibilities Research clinical information from providers using ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice.
As a national leader in home-based care, E...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Appeals RN to work on post-service appeals for Medicare-based claims remotely.Key Responsibilities : Review provider post-service appeals for Medicare and Retir...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Registered Nurse (RN), Auditor.Key Responsibilities Review bills for accuracy compared to medical records Identify and correct ongoing problems through documentation r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Clinical Assessor, Mid - RN - Full-time (Remote U.Key Responsibilities Conduct assessments for Medicaid Waiver eligibility using state-approved tools Ensure privacy an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
- serp_jobs.job_card.promoted
Travel Nurse RN - OR - $1,913 to $2,121 per week in Lynchburg, VA
TravelNurseSourceVirginia Beach, Virginia, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Oncology - $1,647 to $1,826 per week in Lynchburg, VA
TravelNurseSourceChesapeake, Virginia, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Florida Licensed Preservice Review Nurse
VirtualVocationsNorfolk, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Nurse Reviewer
VirtualVocationsNorfolk, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
NC Licensed Clinical Services VP
VirtualVocationsPortsmouth, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Licensed Clinical Manager
VirtualVocationsNorfolk, Virginia, United Statesserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Bilingual RN - Multi-State Licensed
VirtualVocationsVirginia Beach, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
State Licensed Nurse Reviewer
VirtualVocationsPortsmouth, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Telehealth Nurse Practitioner
VirtualVocationsNorfolk, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Clinical Review Nurse
VirtualVocationsPortsmouth, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Oncology - $2,171 to $2,407 per week in Lynchburg, VA
TravelNurseSourceChesapeake, Virginia, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Colorado Licensed Clinical Documentation Specialist RN
VirtualVocationsNewport News, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Tennessee and Missouri RN Clinical Review Coordinator
VirtualVocationsVirginia Beach, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Concurrent Review Nurse
VirtualVocationsChesapeake, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Texas Licensed Clinical Policy Manager
VirtualVocationsNorfolk, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tennessee Licensed Clinical Review Manager
VirtualVocationsNorfolk, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN - Clinical Team Leader - Home Health
Enhabit Home Health & HospiceVirginia Beach, VA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Maryland Licensed Clinical Appeals RN
VirtualVocationsPortsmouth, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Tennessee Licensed RN Auditor
VirtualVocationsNewport News, Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
South Carolina Licensed Clinical Assessor
VirtualVocationsPortsmouth, Virginia, United Statesserp_jobs.job_card.full_time