Talent.com
Virginia Licensed Lead Clinical Reviewer

Virginia Licensed Lead Clinical Reviewer

VirtualVocationsPort Saint Lucie, 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 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 • Port Saint Lucie, Florida, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Licensed Physical Therapy Reviewer

Licensed Physical Therapy Reviewer

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Tennessee and Missouri RN Clinical Review Coordinator

Tennessee and Missouri RN Clinical Review Coordinator

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Remote Medical Coding Reviewer

Remote Medical Coding Reviewer

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a Medical Coding Reviewer I.Key Responsibilities Perform clinical / coding medical claim review to ensure compliance with coding practices Analyze provider billing practic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Reviewer

Medical Reviewer

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
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_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Oregon Licensed Clinical Peer Review RN

Oregon Licensed Clinical Peer Review RN

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Texas Licensed Clinical Abstract RN

Texas Licensed Clinical Abstract RN

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
CDI Specialist 2nd Level Reviewer

CDI Specialist 2nd Level Reviewer

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Documentation Improvement Specialist 2nd Level Reviewer (Remote).Key Responsibilities Conduct detailed reviews of medical records and physician documentation f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
NC Licensed VP of Clinical Operations

NC Licensed VP of Clinical Operations

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a VP of Clinical Operations to provide leadership and oversight for Clinical Services and Casualty departments. Key Responsibilities Oversee all Clinical Services function...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Clinical Integration Lead

Clinical Integration Lead

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Automation and Integration Lead - Remote.Key Responsibilities Serve as the clinical subject matter expert and lead for project teams defining clinical requirem...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinical Audit Analyst II - RN Licensed

Clinical Audit Analyst II - RN Licensed

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Government Audit Analyst & Appeal Specialist II (Remote).Key Responsibilities Conduct thorough analyses of denials and ensure accurate coding while identifying...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Texas Licensed Clinical Policy Manager

Texas Licensed Clinical Policy Manager

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Manager, Vendor Clinical Policy to join their Clinical Policy team.Key Responsibilities Evaluate vendor policy sets to ensure compliance with internal and external medi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
RN Clinical Navigator

RN Clinical Navigator

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a RN Clinical Navigator to support doctors and patients in a remote healthcare setting.Key Responsibilities Manage communications and documentation between patients and d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Tennessee Licensed Senior Medical Reviewer

Tennessee Licensed Senior Medical Reviewer

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
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_1_day
  • serp_jobs.job_card.promoted
TX and GA Licensed Clinical Manager

TX and GA Licensed Clinical Manager

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Manager, Clinical Navigation.Key Responsibilities Lead and develop a team of Clinical Navigators to enhance patient engagement and outcomes Oversee daily operations of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Clinical Director of Rehab

Clinical Director of Rehab

Powerback RehabilitationFort Pierce, FL, US
serp_jobs.job_card.full_time +1
At Powerback, we're on a mission to improve lives.As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essenti...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Missouri Licensed Utilization Review Lead

Missouri Licensed Utilization Review Lead

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Florida Licensed Clinical Review Nurse

Florida Licensed Clinical Review Nurse

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to determine members' overall health and appropriate level of care Reviews q...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Georgia Licensed Clinical Policy Manager

Georgia Licensed Clinical Policy Manager

VirtualVocationsPort Saint Lucie, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Manager, Vendor Clinical Policy to join their Clinical Policy team.Key Responsibilities Clinically evaluate vendor policy sets for compliance with medical standards and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days