Talent.com
Licensed Utilization Review Clinician
Licensed Utilization Review ClinicianVirtualVocations • Chattanooga, Tennessee, United States
Licensed Utilization Review Clinician

Licensed Utilization Review Clinician

VirtualVocations • Chattanooga, Tennessee, United States
job_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 Utilization Review Clinician - ABA.

Key Responsibilities

Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services

Performs prior authorization reviews to determine medical appropriateness in accordance with ABA guidelines

Analyzes behavioral health member data to enhance service quality and utilization

Required Qualifications, Training, and Education

Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience

License to practice independently or state-required licensure (BCBA) is required

Master's degree for behavioral health clinicians is preferred

Behavioral health clinical knowledge and ability to assess ABA Treatment Plans are required

Experience working with healthcare teams on ABA services is preferred

serp_jobs.job_alerts.create_a_job

Utilization Review • Chattanooga, Tennessee, United States

Job_description.internal_linking.related_jobs
Utilization Review Clinical Liaison

Utilization Review Clinical Liaison

VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Clinical Liaison.Key Responsibilities Serve as the primary point of contact for 1st level utilization review (UR) cases Coordinate 2nd level escalat...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Utilization Review Nurse

State Licensed Utilization Review Nurse

VirtualVocations • Chattanooga, Tennessee, 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_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Arizona Licensed Care Review Clinician

Arizona Licensed Care Review Clinician

VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Care Review Clinician (RN).Key Responsibilities Assess services for members to ensure optimum outcomes and compliance with regulations Analyze clinical service request...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Travel Nurse RN - Hospice - $1,777 to $1,977 per week in Graysville, TN

Travel Nurse RN - Hospice - $1,777 to $1,977 per week in Graysville, TN

TravelNurseSource • Graysville, TN, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Ventura MedStaff to find a qualified Hospice RN in Graysville, Tennessee, 37338!.Are you ready to take your Travel career to the next level? See places you have n...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted
State Licensed Senior Clinical Appeals RN

State Licensed Senior Clinical Appeals RN

VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Clinical Appeals RN.Key Responsibilities Analyze and respond to DRG appeals, including complex conceptual analyses Review medical records and collaborate with a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Pulmonology

Pulmonology

CompHealth • Cleveland, Tennessee, US
serp_jobs.job_card.full_time
Pulmonology physician job in Tennessee : Cleveland, TN and the surrounding Ocoee Region offers historic landmarks, white water rafting, beautiful hiking trails, and swimming and boating on Parksvil...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
North Carolina Licensed Intake Clinician

North Carolina Licensed Intake Clinician

VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for an Intake Clinician to join their team remotely in Asheville, NC.Key Responsibilities Conduct screenings and level of care assessments utilizing clinical expertise Facil...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Tennessee Licensed Senior Medical Reviewer

Tennessee Licensed Senior Medical Reviewer

VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Registered Nurse Senior Medical Reviewer (Home Health and Hospice).Key Responsibilities Acts as team leader for medical review and case management, providing guidance a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Florida Licensed UR Manager

Florida Licensed UR Manager

VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Regional Utilization Review (UR) Manager to oversee and support utilization review operations across multiple facilities. Key Responsibilities Manage and support facilit...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Ohio Licensed Utilization Nurse Consultant

Ohio Licensed Utilization Nurse Consultant

VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Nurse Consultant.Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services / benefits for members Gather...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Texas Licensed Clinical Nurse Director

Texas Licensed Clinical Nurse Director

VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Director of Utilization Management.Key Responsibilities Develop and implement strategic plans for Utilization Management aligned with organizational goals Direct all U...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Pulmonary-Critical Care

Pulmonary-Critical Care

Insync Healthcare Recruiters • Ringgold, Georgia, US
serp_jobs.job_card.full_time
Pulmonary-Critical Care physician job in Georgia : .Pulmonary Critical Care opportunity.Minutes from Chattanooga, TN ' 90 Minutes to Atlanta. For over five years we have had strong growth in our clin...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Urology

Urology

Insync Healthcare Recruiters • Ringgold, Georgia, US
serp_jobs.job_card.full_time
Urology physician job in Georgia : .Urology opportunity Near Chattanooga, TN -.Exciting opportunity to join a collaborative team of 60 Primary Care Physicians, 39 Specialists, 60 Hospitalists, 6 Neu...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
State Licensed Clinical Content Reviewer

State Licensed Clinical Content Reviewer

VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Content Editor - PGY-1 / Medical Students.Key Responsibilities Collaborate with a multidisciplinary team to create and curate content on emerging medical technol...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Licensed Behavioral Health Clinician

Licensed Behavioral Health Clinician

VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluates member's treatment for mental health and substance abuse to ensure medical appropriatene...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Oregon Licensed Utilization Review Nurse

Oregon Licensed Utilization Review Nurse

VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Nurse.Key Responsibilities Monitor utilization practices from preadmission to discharge to ensure cost-effective resource use and quality patient car...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Tennessee Licensed Clinical Review Manager

Tennessee Licensed Clinical Review Manager

VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Manager to oversee medical reviews for utilization management.Key Responsibilities Initiate referrals for appropriate coordination of care Assist in co...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Minnesota Licensed Clinical Documentation Specialist

Minnesota Licensed Clinical Documentation Specialist

VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.part_time
A company is looking for a Clinical Documentation Improvement Specialist - Part-Time (32 hours per week).Key Responsibilities Conduct thorough patient chart reviews to identify documentation gaps...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted