Arizona Licensed Care Review ClinicianVirtualVocations • Salt Lake City, Utah, United States
Arizona Licensed Care Review Clinician
VirtualVocations • Salt Lake City, Utah, 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 Care Review Clinician (RN).
Key Responsibilities
Assess services for members to ensure optimum outcomes and compliance with regulations
Analyze clinical service requests against evidence-based clinical guidelines
Conduct reviews for prior authorization and collaborate with multidisciplinary teams
Required Qualifications
At least 2 years of experience in hospital acute care or managed care
Active and unrestricted Registered Nurse (RN) license in the state of practice
Ability to prioritize and manage multiple deadlines
Proficiency in Microsoft Office suite or applicable software programs
serp_jobs.job_alerts.create_a_job
Licensed Clinician • Salt Lake City, Utah, United States
Job_description.internal_linking.related_jobs A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to determine overall health and appropriate level of care for members Review...serp_jobs.internal_linking.show_more A company is looking for a Registered Nurse - Clinical Case Consultant (CalAIM ECM Program).Key Responsibilities Provide clinical oversight and guidance to care coordinators and case managers, en...serp_jobs.internal_linking.show_more A company is looking for a Manager of Prior Authorization UM - Aetna Medicaid Texas - RN.Key Responsibilities Lead and manage the prior authorization team, including hiring, training, and perform...serp_jobs.internal_linking.show_more A company is looking for Telehealth Clinicians (MD, NP, PA, DO).Key Responsibilities Provide comprehensive telehealth consultations to patients across assigned states Conduct thorough assessment...serp_jobs.internal_linking.show_more A company is looking for a Director, Clinical Systems.Key Responsibilities Lead and direct a team supporting clinical systems and oversee the system development lifecycle (SDLC) Manage the creat...serp_jobs.internal_linking.show_more 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 A company is looking for a Clinical Reviewer to perform Utilization Management and review clinical information for service requests.
Key Responsibilities Evaluate referral appropriateness for serv...serp_jobs.internal_linking.show_more A company is looking for an RN Compliance & Charge Capture Auditor.Key Responsibilities Conducts daily audits of Inpatient, Observation, ED, and Outpatient Infusion accounts Tracks and analyzes ...serp_jobs.internal_linking.show_more A company is looking for a Senior Abstractor, HEDIS / Quality Improvement (Remote).Key Responsibilities Conducts data collection and abstraction of medical records for HEDIS projects Coordinates a...serp_jobs.internal_linking.show_more 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 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 ...serp_jobs.internal_linking.show_more A company is looking for an RN Medical Claim Review Nurse Remote.Key Responsibilities Perform clinical / medical reviews of medical claims and previously denied cases to ensure medical necessity an...serp_jobs.internal_linking.show_more A company is looking for a Field RN Case Manager.Key Responsibilities Manage patient care and coordinate services for assigned cases Conduct assessments and develop care plans based on patient n...serp_jobs.internal_linking.show_more A company is looking for a Senior Complex Bill Reviewer.Key Responsibilities Review and analyze medical bills, treatment records, and diagnostic reports related to auto accident injuries Identif...serp_jobs.internal_linking.show_more A company is looking for a Clinical Supervisor - OR - LPC or LCSW - Remote.Key Responsibilities Provide supervision to a minimum of six resident clinicians, including weekly group and individual ...serp_jobs.internal_linking.show_more A company is looking for a Nurse Practitioner - Addiction Medicine.Key Responsibilities Provide patient care in a fully remote environment, focusing on harm reduction principles Prescribe bupren...serp_jobs.internal_linking.show_more Key Responsibilities Conduct MS-DRG and APR-DRG coding reviews to verify accuracy and identify overpayments Perform clinical coding reviews ensuring accuracy and compliance with coding guideline...serp_jobs.internal_linking.show_more 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 A company is looking for a RN Care Review Clinician Critical Care to provide support for clinical member services review assessment processes.
Key Responsibilities Assesses services for members to...serp_jobs.internal_linking.show_more A company is looking for a Director, Clinical Excellence (Post Acute, VBC).Key Responsibilities Lead the operational delivery of the post-acute care program to ensure coordinated patient transiti...serp_jobs.internal_linking.show_more
Arizona Licensed Clinical Review Nurse
VirtualVocations • Provo, Utah, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
California Licensed Clinical Case Consultant
VirtualVocations • Provo, Utah, 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
Texas Licensed RN Manager
VirtualVocations • Provo, Utah, 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
Licensed Telehealth Clinician
VirtualVocations • Provo, Utah, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Arizona Licensed Clinical Systems Director
VirtualVocations • Provo, Utah, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
State Licensed Senior Clinical Appeals RN
VirtualVocations • Salt Lake City, Utah, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Clinical Reviewer
VirtualVocations • Provo, Utah, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Illinois Licensed RN Auditor
VirtualVocations • Provo, Utah, 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
Arizona Licensed Senior Abstractor
VirtualVocations • Provo, Utah, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Minnesota Licensed Clinical Documentation Specialist
VirtualVocations • Provo, Utah, United States
serp_jobs.job_card.part_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Utilization Review Clinician
VirtualVocations • Salt Lake City, Utah, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Arizona Licensed Medical Claim Nurse
VirtualVocations • Provo, Utah, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Ohio Licensed Field RN Case Manager
VirtualVocations • Provo, Utah, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
State Licensed Senior Bill Reviewer
VirtualVocations • Provo, Utah, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Oregon Licensed Clinical Supervisor
VirtualVocations • Provo, Utah, 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
Arizona Licensed Nurse Practitioner
VirtualVocations • Provo, Utah, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Remote Clinical Claim Review RN
VirtualVocations • Provo, Utah, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Arizona Licensed Care Review Clinician
VirtualVocations • Provo, Utah, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Washington RN Care Review Clinician
VirtualVocations • Provo, Utah, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
State Licensed Director of Clinical Excellence
VirtualVocations • Provo, Utah, 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