Oregon Licensed Clinical Review NurseVirtualVocations • Oxnard, California, United States
Oregon Licensed Clinical Review Nurse
VirtualVocations • Oxnard, California, 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 Clinical Review Nurse - Prior Authorization.
Key Responsibilities
Review both prior authorization (PA) and inpatient (IP) requests
Complete up to 20 authorization reviews per day
Required Qualifications
At least 2 years of Prior Authorization or Inpatient Authorization review experience
Active Oregon license as an RN or LPN
Willingness to work a flexible schedule including 1 weekend per month and a few holidays per year
Ability to work well independently and as part of a team
serp_jobs.job_alerts.create_a_job
Clinical Review Nurse • Oxnard, California, United States
Job_description.internal_linking.related_jobs A company is looking for a Nurse Practitioner for a remote position in Oregon.Key Responsibilities Complete comprehensive health assessments for complex patients Manage complex patients to reduc...serp_jobs.internal_linking.show_more A company is looking for a Clinical Supervisor - OR - LPC or LCSW - Remote.Key Responsibilities Provide supervision to a minimum of six resident clinicians, including weekly group and individual ...serp_jobs.internal_linking.show_more A company is looking for a Director, Clinical Systems.Key Responsibilities Lead and direct a team supporting clinical systems and oversee the system development lifecycle (SDLC) Manage the creat...serp_jobs.internal_linking.show_more A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to determine overall health and appropriate level of care for members Review...serp_jobs.internal_linking.show_more A company is looking for a Nurse Practitioner - Addiction Medicine.Key Responsibilities Provide virtual care to patients, supporting recovery in alignment with harm reduction principles Prescrib...serp_jobs.internal_linking.show_more A company is looking for a Remote Psychiatric Mental Health Nurse Practitioner (PMHNP).Key Responsibilities Provide quality care to patients remotely Manage scheduling and patient appointments ...serp_jobs.internal_linking.show_more A company is looking for a Clinical Reviewer to perform Utilization Management and review clinical information for service requests.
Key Responsibilities Evaluate referral appropriateness for serv...serp_jobs.internal_linking.show_more A company is looking for a Clinical Quality Nurse Reviewer, Sr.Key Responsibilities Perform QA checks on complex clinical claim reviews Review and analyze claim data and medical records using ap...serp_jobs.internal_linking.show_more A company is looking for an RN Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to determine overall health and appropriate level of care for members Re...serp_jobs.internal_linking.show_more A company is looking for a Registered Nurse - Clinical Case Consultant (CalAIM ECM Program).Key Responsibilities Provide clinical oversight and guidance to care coordinators and case managers, en...serp_jobs.internal_linking.show_more A company is looking for a Nurse Practitioner - Addiction Medicine.Key Responsibilities Provide patient care in a fully remote environment, focusing on harm reduction principles Prescribe bupren...serp_jobs.internal_linking.show_more 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 A company is looking for a Director, Clinical Excellence (Post Acute, VBC).Key Responsibilities Lead the operational delivery of the post-acute care program to ensure coordinated patient transiti...serp_jobs.internal_linking.show_more A company is looking for a Nurse Practitioner - Addiction Medicine.Key Responsibilities Provide patient care in a fully remote environment, focusing on harm reduction principles Prescribe bupren...serp_jobs.internal_linking.show_more A company is looking for a Clinical Review Nurse - Prior Authorization.Key Responsibilities Analyzes prior authorization requests to determine medical necessity and appropriate level of care Pro...serp_jobs.internal_linking.show_more A company is looking for an RN Compliance & Charge Capture Auditor.Key Responsibilities Conducts daily audits of Inpatient, Observation, ED, and Outpatient Infusion accounts Tracks and analyzes ...serp_jobs.internal_linking.show_more A company is looking for a Nurse Practitioner - Addiction Medicine.Key Responsibilities Provide patient care in a fully remote environment, focusing on harm reduction principles Prescribe bupren...serp_jobs.internal_linking.show_more A company is looking for a Manager of Prior Authorization UM - Aetna Medicaid Texas - RN.Key Responsibilities Lead and manage the prior authorization team, including hiring, training, and perform...serp_jobs.internal_linking.show_more
Oregon Licensed Nurse Practitioner
VirtualVocations • San Buenaventura, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Oregon Licensed Clinical Supervisor
VirtualVocations • Oxnard, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Arizona Licensed Clinical Systems Director
VirtualVocations • San Buenaventura, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Arizona Licensed Clinical Review Nurse
VirtualVocations • Oxnard, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Idaho Licensed Nurse Practitioner
VirtualVocations • San Buenaventura, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Oregon Licensed Psychiatric Nurse Practitioner
VirtualVocations • Oxnard, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
State Licensed Clinical Reviewer
VirtualVocations • San Buenaventura, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Texas Licensed Clinical Quality Nurse
VirtualVocations • San Buenaventura, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
New York RN Clinical Review Nurse
VirtualVocations • Oxnard, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
California Licensed Clinical Case Consultant
VirtualVocations • San Buenaventura, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Arizona Licensed Nurse Practitioner
VirtualVocations • San Buenaventura, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Washington RN Care Review Clinician
VirtualVocations • Oxnard, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Director of Clinical Excellence
VirtualVocations • San Buenaventura, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Colorado Licensed Nurse Practitioner
VirtualVocations • San Buenaventura, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Delaware Licensed Clinical Review Nurse
VirtualVocations • Oxnard, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Illinois Licensed RN Auditor
VirtualVocations • Oxnard, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Kansas Licensed Nurse Practitioner
VirtualVocations • San Buenaventura, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Texas Licensed RN Manager
VirtualVocations • Oxnard, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted