Talent.com
Licensed Clinical Reviewer
Licensed Clinical ReviewerVirtualVocations • Tampa, Florida, United States
Licensed Clinical Reviewer

Licensed Clinical Reviewer

VirtualVocations • Tampa, Florida, 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 Clinical Reviewer of Behavioral Health.

Key Responsibilities

Review medical records to determine medical appropriateness based on contract requirements

Monitor and adjust daily workload to meet departmental demands and ensure timely case reviews

Act as a liaison for providers and assist in quality monitoring and improvement activities

Required Qualifications

Active unrestricted Licensed Mental Health Professional (LMHP) in relevant fields

Bachelor's Degree or higher in a related field from an accredited institution

At least 1 year of experience in Prior Authorization, Utilization Review, or Utilization Management

Ability to work alternating weekends

serp_jobs.job_alerts.create_a_job

Clinical Reviewer • Tampa, Florida, United States

Job_description.internal_linking.related_jobs
Inpatient DRG Reviewer

Inpatient DRG Reviewer

Zelis Healthcare, LLC • St. Petersburg, FL, United States
serp_jobs.job_card.full_time
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Clinical Manager Home Health -Remote

Clinical Manager Home Health -Remote

Pinnacle Home Care • Tarpon Springs, FL, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Clinical Manager Home Health - Remote.Are you looking to make a difference in patients' lives with a company that values your expertise? Join us in our mission of delivering compassionate healthcar...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Regional Clinical Sales Program Director

Regional Clinical Sales Program Director

Enhabit Home Health & Hospice • New Port Richey, FL, US
serp_jobs.job_card.full_time
The Regional Program Director will office from the agency location closest to his / her residence and travel to the other agency locations across the territory on a regular and frequent basis.Travel ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Sr. Supervisor, Clinical Chart Review

Sr. Supervisor, Clinical Chart Review

Zelis • Saint Petersburg, FL, US
serp_jobs.job_card.full_time
Supervisor, Clinical Chart Review.Supervisor, Clinical Chart Review is focused on supervising a team of Clinician's performing clinical reviews of facility claims, including UB's, Itemized Bills an...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN Clinical Support Coordinator Resource RN

RN Clinical Support Coordinator Resource RN

HCA Florida Northside Hospital • Saint Petersburg, FL, US
serp_jobs.job_card.full_time +1
HCA Florida Northside Hospital is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care?.Submit your app...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinical Manager

Clinical Manager

ChenMed • Largo, FL, US
serp_jobs.job_card.full_time
We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire o...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
CRNA - Anesthesiology job available in Lakeland, Florida

CRNA - Anesthesiology job available in Lakeland, Florida

RecruitWell • Lakeland, FL, US
serp_jobs.job_card.permanent
Lakeland, Florida, OB CRNA Opportunity.Do you know someone that might be a good fit for this position? Please ask about our generous referral fees!. Conveniently located minutes from Tampa and Orlan...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Inpatient DRG Sr. Reviewer

Inpatient DRG Sr. Reviewer

Zelis Healthcare, LLC • St. Petersburg, FL, United States
serp_jobs.job_card.full_time
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Associate Clinical Manager

Associate Clinical Manager

ChenMed • Largo, FL, United States
serp_jobs.job_card.full_time
We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Job Clinical Director

Job Clinical Director

American Addiction Centers • Riverview, FL, US
serp_jobs.job_card.full_time
If you are searching for a fulfilling place to develop your career and an opportunity to make a difference in helping others, then keep reading on. Here at AAC, we have a progressive culture; we lis...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Clinical Nurse Coord RN PCU Trauma Stepdown

Clinical Nurse Coord RN PCU Trauma Stepdown

HCA Florida Bayonet Point Hospital • Hudson, FL, US
serp_jobs.job_card.full_time +1
Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients.At HCA Florida Bayonet Point Hospital our nurses set us apart from any other heal...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN Clinical Coordinator

RN Clinical Coordinator

Palm Medical Centers • Tampa, FL, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Palm Medical Centers is a rapid growing company currently seeking an experienced RN Clinical Coordinator with leadership experience to join our team. The RN Clinical Coordinator performs a variety o...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30
CRNA - Anesthesiology-Obstetric job available in Lakeland, Florida

CRNA - Anesthesiology-Obstetric job available in Lakeland, Florida

InSync Healthcare Recruiters • Lakeland, FL, US
serp_jobs.job_card.full_time
Wonderful OB only CRNA Opportunity in Lakeland, FL.We offer an exceptional compensation package.Health and wellness benefit options. The benefits package includes medical, dental and vision, life an...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Sr. Supervisor, Clinical Chart Review

Sr. Supervisor, Clinical Chart Review

Zelis Healthcare, LLC • St. Petersburg, FL, United States
serp_jobs.job_card.full_time
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN Clinical Service Liaison

RN Clinical Service Liaison

JRA HEALTH • Tampa, FL, US
serp_jobs.job_card.full_time
JRA Health is a new and emerging home infusion provider, looking for talented individuals to assist in the organization's focus on filling the gap in acute care home infusion services.JRA Health is...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Local Contract Nurse RN - ICU - Intensive Care Unit

Local Contract Nurse RN - ICU - Intensive Care Unit

First Connect Health • Hudson, FL, US
serp_jobs.job_card.full_time +1
First Connect Health is seeking a local contract nurse RN ICU - Intensive Care Unit for a local contract nursing job in Hudson, Florida. Job Description & Requirements.Hiring Now : ICU RN (Direct...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Associate Center Clinical Director

Associate Center Clinical Director

ChenMed • Tampa, FL, United States
serp_jobs.job_card.full_time
We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Manager Clinical Documentation Improvement Program (CDI) (Clearwater)

Manager Clinical Documentation Improvement Program (CDI) (Clearwater)

BayCare Health System • Clearwater, FL, US
serp_jobs.job_card.full_time +1
At BayCare, we are proud to be one of the largest employers in the Tampa Bay area.Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpat...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Remote Clinical Psychologist Reviewer

Remote Clinical Psychologist Reviewer

HealthCare Support • Tampa, FL, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
We’re seeking experienced and compassionate.Clinical Psychologist Reviewers.Monday–Friday schedule, professional collaboration, and the chance to make a meaningful impact by supporting quality beha...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinical Manager Home Health

Clinical Manager Home Health

Pinnacle Home Care • Spring Hill, FL, US
serp_jobs.job_card.full_time
Are you looking to make a difference in patients' lives with a company that values your expertise? Join us in our mission of delivering compassionate healthcare where it matters most at home.Pinna...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted