Talent.com
Utilization Review Clinical Liaison
Utilization Review Clinical LiaisonVirtualVocations • Vancouver, Washington, United States
serp_jobs.error_messages.no_longer_accepting
Utilization Review Clinical Liaison

Utilization Review Clinical Liaison

VirtualVocations • Vancouver, Washington, 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 Utilization Review Clinical Liaison.

Key Responsibilities

Serve as the primary point of contact for 1st level utilization review (UR) cases

Coordinate 2nd level escalations based on 1st level protocols

Assist with triaging incoming cases, assessing urgency, and routing appropriately

Qualifications

High school diploma or equivalent required

Minimum of 2 years of experience in a healthcare environment

Familiarity with medical terminology and patient scheduling or triage coordination

Strong organizational skills

Experience in patient scheduling or triage coordination

serp_jobs.job_alerts.create_a_job

Utilization Clinical • Vancouver, Washington, United States

Job_description.internal_linking.related_jobs
Senior Director of Clinical Operations

Senior Director of Clinical Operations

VirtualVocations • Aloha, Oregon, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Director, Clinical Operations.Key Responsibilities Ensure compliance with regulatory requirements and implement risk-based quality management across clinical stu...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Care Review Clinician, Inpatient Review (RN)

Care Review Clinician, Inpatient Review (RN)

Molina Healthcare • Vancouver, WA, US
serp_jobs.job_card.full_time
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clini...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Care Review Clinician, PA (RN)

Care Review Clinician, PA (RN)

Molina Healthcare • Vancouver, WA, US
serp_jobs.job_card.full_time
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Director of Clinical Operations

Director of Clinical Operations

VirtualVocations • Vancouver, Washington, United States
serp_jobs.job_card.full_time
A company is looking for a Director of Clinical Services Operations.Key Responsibilities Lead day-to-day operations ensuring compliance with contracts and regulations Develop and implement proce...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Care Review Clinician (RN)

Care Review Clinician (RN)

Molina Healthcare • Vancouver, WA, US
serp_jobs.job_card.full_time
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clini...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
North Carolina Licensed Intake Clinician

North Carolina Licensed Intake Clinician

VirtualVocations • Aloha, Oregon, United States
serp_jobs.job_card.full_time
A company is looking for an Intake Clinician to join their team remotely in Asheville, NC.Key Responsibilities Conduct screenings and level of care assessments utilizing clinical expertise Facil...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Oregon Licensed Utilization Review Nurse

Oregon Licensed Utilization Review Nurse

VirtualVocations • Vancouver, Washington, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Nurse.Key Responsibilities Monitor utilization practices from preadmission to discharge to ensure cost-effective resource use and quality patient car...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utilization Management Nurse Consultant

Utilization Management Nurse Consultant

VirtualVocations • Aloha, Oregon, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Nurse Consultant specializing in Medical Review (Remote).Key Responsibilities Implement, coordinate, monitor, and evaluate medical review cases u...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Clinical Learning Facilitator - Utilization Management Trainer

Clinical Learning Facilitator - Utilization Management Trainer

Molina Healthcare • Vancouver, WA, US
serp_jobs.job_card.full_time
Delivers training programs for clinical staff across the enterprise to orient employees to Molina's clinical methodology, policies, processes, and systems. Ensures all Molina clinical team members a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinical Study Operations Manager

Clinical Study Operations Manager

VirtualVocations • Vancouver, Washington, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Study Operations Manager.Key Responsibilities Oversee study startup planning, site onboarding, and operational oversight to ensure timely execution of clinical...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN Care Review Clinician Critical Care Remote in WA state

RN Care Review Clinician Critical Care Remote in WA state

Molina Healthcare • Vancouver, WA, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
The Care Review Clinician (RN) provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established c...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Remote Inpatient Care Management RN

Remote Inpatient Care Management RN

VirtualVocations • Aloha, Oregon, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for an Inpatient Care Management RN - Remote.Key Responsibilities Perform initial and concurrent review of inpatient cases using evidence-based criteria Collaborate with hea...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinical Manager Registered Nurse - RN - Dialysis

Clinical Manager Registered Nurse - RN - Dialysis

Fresenius Medical Care • St Helens, Oregon, US
serp_jobs.job_card.full_time
As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-k...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Behavioral Health Utilization Review RN

Behavioral Health Utilization Review RN

VirtualVocations • Vancouver, Washington, United States
serp_jobs.job_card.full_time
A company is looking for a Behavioral Health Utilization Review RN for a full-time remote position.Key Responsibilities Review and evaluate electronic medical records for emergency admissions and...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Manager Clinic Operations

Manager Clinic Operations

Providence • Portland, OR, United States
serp_jobs.job_card.full_time
The Manager Clinic Operations provides ongoing leadership for the development and implementation of management and patient care systems to assure cost-effective and quality operations of multiple c...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Licensed Utilization Review Clinician

Licensed Utilization Review Clinician

VirtualVocations • Vancouver, Washington, United States
serp_jobs.job_card.full_time
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
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Washington RN Care Review Clinician

Washington RN Care Review Clinician

VirtualVocations • Aloha, Oregon, United States
serp_jobs.job_card.full_time
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
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Clinical Review Coordinator

Clinical Review Coordinator

VirtualVocations • Aloha, Oregon, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Coordinator to support their Specialty Infusion Pharmacy remotely.Key Responsibilities Conducts prior authorization reviews to evaluate patient clinical...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Director, Clinical Systems

Director, Clinical Systems

Molina Healthcare • VANCOUVER, US
serp_jobs.job_card.full_time
Leads and directs a team supporting clinical systems.Responsible for provision of product ownership of clinical applications including design, development, implementation, and oversight of technolo...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Dialysis Clinical Manager Registered Nurse - RN

Dialysis Clinical Manager Registered Nurse - RN

Fresenius Medical Care • Portland, Oregon, US
serp_jobs.job_card.full_time
As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-k...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted