LA Licensed Clinical Review Nurse

VirtualVocationsPompano Beach, Florida, United States

job_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 Clinical Review Nurse - Concurrent Review.

Key Responsibilities

Perform concurrent reviews to determine overall health and appropriate level of care for members

Review quality and continuity of care, including acuity level and discharge planning

Collaborate with healthcare providers and Medical Affairs to discuss member care and provide 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 of acute care experience required

Knowledge of Medicare and Medicaid regulations preferred

Knowledge of utilization management processes preferred

LPN - Licensed Practical Nurse - State Licensure required

serp_jobs.job_alerts.create_a_job

Clinical Review Nurse • Pompano Beach, Florida, United States

Job_description.internal_linking.related_jobs

serp_jobs.job_card.promoted

South Carolina Licensed RN Reviewer

VirtualVocationsBoca Raton, Florida, United States

serp_jobs.job_card.full_time

A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.Key Responsibilities Conduct medical claim reviews for complex services and det...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

RN Clinical Appeals Reviewer

VirtualVocationsBoca Raton, Florida, United States

serp_jobs.job_card.full_time

A company is looking for an IBR Clinical Appeals Reviewer - Remote.Key Responsibilities Analyze and respond to IBR Appeals inquiries Perform medical record reviews and prepare written appeals C...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Physician / Anesthesiology / Wisconsin / Permanent / Stevens Point, WI area full time CRNA job opening for B&B cases Job

Medical Associates ConsultingDeerfield Beach, Florida, United States

serp_jobs.job_card.full_time +1

An established private practice in central WI has a full time CRNA job opening for B&B cases including OB, peds, regional, ortho & outpatient surgery. Call is 1 : 5 with post call day off.SRNAs welcom...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Arizona Licensed Clinical Coordinator

VirtualVocationsPompano Beach, Florida, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Administrative Coordinator.Key Responsibilities Process all release of information (ROI) requests, ensuring compliance with regulations and client policies Pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

California Licensed Review Nurse

VirtualVocationsFort Lauderdale, Florida, United States

serp_jobs.job_card.full_time

A company is looking for a Pre-Service Review Nurse RN to work remotely in the Pacific or Mountain Time Zones.Key Responsibilities Conduct utilization management, including Prior Authorization Re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

State Licensed Utilization Review Nurse

VirtualVocationsBoca Raton, Florida, 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_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Clinical Response Specialist

VirtualVocationsTamarac, Florida, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Response Specialist - PRN.Key Responsibilities Assist patients, families, and providers in navigating the admissions process Complete intake calls and manage ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Certified Coder Physician

VirtualVocationsHialeah, Florida, United States

serp_jobs.job_card.full_time

A company is looking for a Coder Physician.Key Responsibilities Abstract, code, sequence, and interpret clinical information from various medical records Assign correct principal and secondary d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Behavioral Health Utilization Review Nurse

ActalentFort Lauderdale, FL, US

serp_jobs.job_card.full_time

Job Title : Behavioral Health Utilization Review Nurse.The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests for service authorizations to ensure the appropriate use of s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Licensed RN Clinical Appeals Reviewer

VirtualVocationsHollywood, Florida, United States

serp_jobs.job_card.full_time

A company is looking for an IBR Clinical Appeals Reviewer who will analyze and respond to client and hospital claim review appeal inquiries. Key Responsibilities : Analyze scope and resolution of I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

CASE MANAGER (RN / LIC) UTILIZATION REVIEW

Universal Health Services, Inc.West Palm Beach, FL, United States

serp_jobs.job_card.full_time

This opportunity is Full Time Day shift Case Manager position.Wellington Regional Medical Center is located in Wellington, Florida. It is a 235-bed, acute care hospital, owned by a subsidiary of Uni...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Medical Scribe

South Palm Orthopedics, P.A.Delray Beach, FL, US

serp_jobs.job_card.full_time

The role of the Medical Scribe is to improve documentation and make the process of treating patients more efficient by handling electric health records and documenting visits.The role accompanies p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted
serp_jobs.job_card.new

LA Licensed Clinical Review Nurse

VirtualVocationsBoca Raton, Florida, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Perform concurrent reviews to determine overall health and appropriate level of care for members Review ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Clinical Documentation Integrity Lead

VirtualVocationsDavie, Florida, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Documentation Integrity Lead - Service Line (Remote).Key Responsibilities Manage relationships between CDI and assigned service lines, collaborating with physi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Medical Scribe

Goldson Spine Rehabilitation CenterPompano Beach, FL, US

serp_jobs.job_card.part_time

Goldson Spine Rehabilitation Center (GSRC) is a multi-disciplinary practice that has been in business for over 25 years.Our services include chiropractic, physical therapy, massage therapy, and psy...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Remote Medical Scribe

Scribe-XHialeah, FL, US

serp_jobs.filters.remote

serp_jobs.job_card.full_time

Scribe-X offers unparalleled clinical experience and preparation for medical school.Work from home and gain clinical experience!. Receive extensive paid training that will help you master EMR system...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Patient Financial Navigator

VirtualVocationsTamarac, Florida, United States

serp_jobs.job_card.full_time

A company is looking for a Patient Financial Navigator I.Key Responsibilities Ensure accurate patient medical records, including demographics and insurance coverage Provide financial education t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Senior Clinical Coordinator

VirtualVocationsDavie, Florida, United States

serp_jobs.job_card.full_time

A company is looking for a Senior Clinical Administrative Coordinator.Key Responsibilities Act as a Subject Matter Expert for team members Manage the intake of members with benefit reviews and i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Clinical Coordinator, BCBA

Optimum ABA TherapyDelray Beach, FL, United States

serp_jobs.job_card.full_time

When we founded Optimum ABA Therapy, our purpose was to serve our community with a personal touch of love and kindness.With over 40 years of combined experience, we have the skill base and expertis...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Clinical Lead III - Rare Disease

VirtualVocationsHollywood, Florida, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Lead III (Rare Disease) to join their Global Clinical Management team.Key Responsibilities Lead global clinical teams and enhance efficiencies across studies a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours