Tennessee Licensed Senior Medical Reviewer
VirtualVocationsSanta Ana, California, United Statesjob_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 Registered Nurse Senior Medical Reviewer (Medicare Part B).
Key Responsibilities
Lead and provide guidance to staff in specialty programs, medical review, and utilization management
Monitor workflow and assist in managing workloads and quality reviews
Ensure compliance with quality plans and participate in special projects as needed
Required Qualifications, Training, and Education
Active, unrestricted RN licensure in the United States or a compact multistate license
Associate Degree in Nursing or graduation from an accredited school of nursing
Four years of clinical experience or a combination of clinical and medical review experience totaling four years
Working knowledge of managed care and healthcare delivery systems
Proficiency in Microsoft Office software
serp_jobs.job_alerts.create_a_job
Medical Reviewer • Santa Ana, California, United States
Job_description.internal_linking.related_jobs A company is looking for a Clinical Reviewer, Physical Therapy.Key Responsibilities Evaluate cases that do not pass the authorization approval process and promote a supportive team approach Revi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better.
Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Ready to dominate the courtroom? We're seeking a fearless.We need a courtroom warrior with : .Research & analytical superpowers.
Meticulous attention to detail.Motion practice expertise (you a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Lead Clinical Reviewer to join their team.Key Responsibilities Review medical records against criteria to determine medical appropriateness Guide team members and supp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United Sta...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Facility in Harbor City, California.Fusion Medical Staffing is seeking a Med Surg / Tele RN for a 13-week travel assignment in Harbor City, California.
As a member of our team, you'll have the opportu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Good Life MedStaff is seeking a travel nurse RN Med Surg for a travel nursing job in Avalon, California.Job Description & Requirements.
Beautiful Island location Hospital is in need of a Med Su...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less A company is looking for a Senior Medical Director to oversee medical review strategies and collaborate with stakeholders.
Key Responsibilities Oversee the development and implementation of Medica...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Medical Review Contractor to serve as a liaison to cross-functional teams and incorporate current medical information into departmental resources.Key Responsibilities P...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 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_days 
Facilitates the client's initial BAM survey within 24 hours of admission.Reviews intake and consent forms with new clients and collects signatures within 24 hours of admission.Conducts initial sear...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Utilization Review Coordinator, Lead.Key Responsibilities Serve as a liaison among physician, nursing staff, and ancillary departments to facilitate patient processing ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
In this role, you will be responsible for oversight and continuous improvement of the direct patient care provided by clinicians within the Southern California region.
Under the direction of the Chi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Prime Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Los Angeles, California.Job Description & Requirements.
Med / Surg or Telemetry required.Active State or Compact RN Lic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Medical Reviewer.Key Responsibilities Lead statistical programming activities for clinical safety data sets Oversee the creation and validation of SDTM, ADaM, and TLFs...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Clinical Peer Review RN Coordinator (Performance Improvement).Key Responsibilities Coordinate and manage peer review processes with precision and discretion Serve as a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
RN Clinical Director, Medical / Surgical - Telemetry, Full Time, Days.This RN Clinical Director is responsible and accountable for 24-hour operations within the assigned nursing unit(s) to include : p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Other - Abstract RN.Key Responsibilities Conduct electronic medical record abstraction services accurately and efficiently Abstract information from electroni...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Registered Nurse Senior Medical Reviewer (Medicare Part B).Key Responsibilities Lead and provide guidance to staff in specialty programs, medical review, and utilizatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours The Good Life MedStaff is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Avalon, California.
Job Description & Requirements.Beautiful Island location travel contract...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less
- serp_jobs.job_card.promoted
Licensed Physical Therapy Reviewer
VirtualVocationsOntario, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Licensed Mental Health Therapist (LMFT, LCSW, LPCC) - Avalon, CA
LifeStance HealthAvalon, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Associate Attorney - Litigation
Kaizen StackupCapistrano Beach, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Virginia Licensed Lead Clinical Reviewer
VirtualVocationsGarden Grove, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Physician / Oncology / California / Permanent / Associate Medical Director - Oncology - 100% Remote
eviCore healthcareLos Angeles, CA, USserp_jobs.filters.remote
serp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Travel Med Surg / Telemetry RN
Fusion Medical StaffingHarbor City, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Travel Nurse RN - Med Surg - $2,018 per week
The Good Life MedStaffAvalon, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
South Carolina Licensed Senior Medical Director
VirtualVocationsOrange, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Medical Review Contractor
VirtualVocationsWhittier, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tennessee and Missouri RN Clinical Review Coordinator
VirtualVocationsGarden Grove, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Behavioral Health Technician
Ocean Hills Recovery LLCDana Point, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Missouri Licensed Utilization Review Lead
VirtualVocationsTorrance, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Regional Medical Director (Orange County)
ConfidentialOrange County, CA, USserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Travel Med-Surg Telemetry Float RN - $2,117 per week
Prime StaffingLos Angeles, CA, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Medical Reviewer
VirtualVocationsMission Viejo, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Oregon Licensed Clinical Peer Review RN
VirtualVocationsFullerton, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Clinical Director, Medical / Surgical - Telemetry, Full time, Days
PIH HealthWhittier, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Clinical Abstract RN
VirtualVocationsTorrance, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Tennessee Licensed Senior Medical Reviewer
VirtualVocationsMission Viejo, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Travel Nurse RN - ED - Emergency Department - $2,320 per week
The Good Life MedStaffAvalon, CA, United Statesserp_jobs.job_card.full_time