Texas Licensed Clinical Quality NurseVirtualVocations • Independence, Missouri, United States
Texas Licensed Clinical Quality Nurse
VirtualVocations • Independence, Missouri, United States
job_description.job_card.1_day_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 Quality Nurse Reviewer, Sr. Specialist.
Key Responsibilities
Perform QA checks on complex clinical claim reviews
Review and analyze claim data and medical records using approved guidelines
Document determinations clearly and concisely and report quality findings
Required Qualifications
Active, unrestricted RN license in the U.S. with a current multistate compact (NLC) license
Associate degree required; bachelor's degree preferred
5+ years of clinical experience in an acute setting
3+ years of medical record review / auditing experience preferred
Expert level experience applying MCG and / or InterQual criteria
serp_jobs.job_alerts.create_a_job
Clinical Quality Nurse • Independence, Missouri, 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 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 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 
HealthTrust Workforce Solutions Regional is seeking a local contract nurse RN ICU - Intensive Care Unit for a local contract nursing job in Overland Park, Kansas.
Job Description & Requirements.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 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 Quality Auditor RN for a 6-month contract.Key Responsibilities Execute chart audits according to established guidelines and complete the required volume of reviews Ide...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 a Clinical Review Nurse - Prior Authorization.Key Responsibilities Analyzes prior authorization requests to determine medical necessity and appropriate level of care Pro...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 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 A company is looking for a Clinical Quality LPN for a short-term contract position.Key Responsibilities Perform administrative tasks related to Adverse Event referrals and case management Assist...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 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 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 A company is looking for a Nurse Practitioner - Addiction Medicine.Key Responsibilities Provide virtual care to patients, supporting recovery in alignment with harm reduction principles Prescrib...serp_jobs.internal_linking.show_more 
HealthTrust Workforce Solutions Regional is seeking a local contract nurse RN ICU - Intensive Care Unit for a local contract nursing job in Overland Park, Kansas.
Job Description & Requirements.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
Arizona Licensed Clinical Review Nurse
VirtualVocations • Independence, Missouri, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Texas Licensed RN Manager
VirtualVocations • Kansas City, Kansas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
North Carolina Licensed Nurse Practitioner
VirtualVocations • Independence, Missouri, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Local Contract Nurse RN - ICU - Intensive Care Unit - $52-53 per hour
HealthTrust Workforce Solutions Regional • Overland Park, KS, US
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 • Kansas City, Kansas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Georgia Licensed Clinical Documentation Specialist
VirtualVocations • Kansas City, Kansas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Quality Auditor RN
VirtualVocations • Kansas City, Missouri, United States
serp_jobs.job_card.temporary
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
State Licensed Clinical Reviewer
VirtualVocations • Kansas City, Missouri, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Delaware Licensed Clinical Review Nurse
VirtualVocations • Kansas City, Kansas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Kansas Licensed Nurse Practitioner
VirtualVocations • Kansas City, Missouri, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Maryland Licensed Nurse Practitioner
VirtualVocations • Kansas City, Missouri, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Hawaii Licensed Clinical Quality LPN
VirtualVocations • Independence, Missouri, United States
serp_jobs.job_card.temporary
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Oregon Licensed Clinical Review Nurse
VirtualVocations • Independence, Missouri, 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 • Kansas City, Kansas, 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 • Independence, Missouri, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Idaho Licensed Nurse Practitioner
VirtualVocations • Independence, Missouri, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Local Contract Nurse RN - ICU - Intensive Care Unit
HealthTrust Workforce Solutions Regional • Overland Park, KS, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Florida Licensed Nurse Practitioner
VirtualVocations • Kansas City, Missouri, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted