Virginia Licensed Lead Clinical Reviewer
VirtualVocationsKissimmee, Florida, United Statesjob_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 Lead Clinical Reviewer to join their team.
Key Responsibilities
Review medical records against criteria to determine medical appropriateness
Guide team members and support training and documentation efforts
Conduct quality monitoring and audits, identifying areas for improvement
Required Qualifications
Active and unrestricted license as a Mental Health Professional in Virginia
Master's degree from an accredited college in a relevant program
2+ years of experience in Prior Authorization, Utilization Review, or Utilization Management
serp_jobs.job_alerts.create_a_job
Clinical Lead • Kissimmee, Florida, United States
Job_description.internal_linking.related_jobs
Hospitals, medical centers, and facilities need more than physicians, nurses, and specialists delivering care to our patients.
A truly successful health care organization needs a thoughtful, dedicat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Founded in 2011, Fulgent has evolved into a premier, full-service genomic testing company built around a foundational technology platform.
Through our diverse testing menu, Fulgent is focused on tra...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At Cepheid, we are passionate about improving health care through fast, accurate diagnostic testing.Our mission drives us, every moment of every day, as we develop scalable, groundbreaking solution...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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 y...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Regional Clinical Director – Lymphedema (PT or OT, CLT Required).Physical Therapist (PT) or Occupational Therapist (OT).Certified Lymphedema Therapist (CLT).
This role starts with providing.Osceola ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Associate Director, Field Reimbursement Manager - Immunology Gastroenterology.This role is field-based, and candidates should live within a reasonable distance from the primary city.The geography i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
Family First Homecare provides exceptional homecare services to children with life-long health conditions.We live by our values of telling the truth, owning the details, and raising the bar, workin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Clinical Growth Manager Orlando, FL.As a Clinical Growth Manager, you'll lead efforts to grow our referral network of healthcare providersfrom primary care to specialistsensuring more patients acc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Medicaid Reimbursement Director.Hospitals, medical centers and facilities need more than physicians, nurses and specialists delivering care to our patients.
A truly successful health care organizati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
RELOCATE TO VIRGINIA OPPORTUNITY.Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research, comprehensive training, and compassionate care.U...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
It's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chapters Health Team, you'll realize it's more than a job.We're committed to prov...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Director - Clinical Document Improvement (CDI).At AdventHealth Orlando, what started as a converted farmhouse in rural Central Florida has become Central Florida's major tertiary health care facili...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Clinical Operations Manager - AdventHealth Medical Group - AHMG Radiology of Central Florida.At AdventHealth Medical Group, you can be part of a team of driven professionals providing compassionate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
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_moreserp_jobs.last_updated.last_updated_variable_days Clinical Supervisor AdventHealth Primary Care Palm Springs.Every day, our fellow team members show up to work, unified by one shared mission : Extending the Healing Ministry of Jesus Christ.As a fa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity.
We care like family! Jump-start your career as a(an) RN Coordi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Under the general supervision of the Director / Nurse Manager / Administrative Supervisor, the Clinical Coordinator is responsible for the day-to-day and monthly scheduling, assignment and supervision ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Neurology physician employment in Florida : .Short drive to Tampa or Orlando.Year round theater, music, clubs & activities.
Lakes & rivers to fish, swim or cruise in a boat.Beautifully renovated care...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Quality Improvement Risk Manager.Are you an experienced Quality Improvement professional who is a compassionate team collaborator, putting people first, showing care and concern for all? Are you a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Responsible for assisting the Credit Risk Review (CRR) team in executing its mandate of providing a fully independent assessment of credit risk management (1st line) and control (2nd line) to the B...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
Director ReimbursementAltamonte Springs, FL
AdventHealthAltamonte Springs, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Genomics Account Manager (Central Florida)
Inform DiagnosticsOrlando, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Field Reimbursement Director (Remote USA)
DanaherOrlando, FL, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Associate Medical Director
ChenMedAloma, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Regional Clinical Director - Lymphedema (PT or OT, CLT Required)
HealthCare Recruiters InternationalKissimmee, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Associate Director, Field Reimbursement, Immunology Gastroenterology
AbbVieOrlando, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Manger RN
Anchor Home Health CareOrlando, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Growth Manager Orlando, FLOrlando, FL
FayOrlando, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medicaid Reimbursement DirectorAltamonte Springs, FL
AdventHealthAltamonte Springs, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Nurse Leader (RN) - All Areas
UVA HealthOrlando, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Clinical Manager
Chapters Health SystemOrlando, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Director of Clinical Documentation ImprovementMaitland, FL
AdventHealthMaitland, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Operations Manager AHMG RadiologyMaitland, FL
AdventHealthMaitland, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Regional Clinical Sales Program Director
Enhabit Home Health & HospiceClermont, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical SupervisorAltamonte Springs, FL
AdventHealthAltamonte Springs, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
RN Coordinator Trauma PI
HCA HealthcareWinter Haven, FL, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Operating Room Clinical Coordinator RN
Parrish HealthcareMims, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Neurology
Accolades Physician Resources LLCMount Dora, Florida, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Risk Manager- Florida
Veterans StaffingOrlando, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Credit Risk Review Manager
Seacoast BankOrlando, FL, USserp_jobs.job_card.full_time