Virginia Licensed Lead Clinical Reviewer
VirtualVocationsRiverside, California, United Statesjob_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 • Riverside, California, United States
Job_description.internal_linking.related_jobs 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 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 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 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 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 supp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 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 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 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 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 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 A company is looking for a Clinical Quality Associate (Remote).Key Responsibilities Manage the clinical support inbox and respond to inquiries from internal teams, providers, and patients Interp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 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_variable_hours 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 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 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 Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Fusion Medical Staffing is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Wildomar, CA.
Shift : Inquire Start Date : 10 / 20 / 2025 Duration : 13 weeks Pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day Fusion Medical Staffing is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Wildomar, CA.
Shift : Inquire Start Date : 10 / 20 / 2025 Duration : 13 weeks Pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
- serp_jobs.job_card.promoted
Texas Licensed Clinical Abstract RN
VirtualVocationsRiverside, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Clinical Policy Manager
VirtualVocationsFontana, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Remote Medical Coding Reviewer
VirtualVocationsOntario, California, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Reviewer
VirtualVocationsRiverside, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Virginia Licensed Lead Clinical Reviewer
VirtualVocationsMission Viejo, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
CDI Specialist 2nd Level Reviewer
VirtualVocationsFontana, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Oregon Licensed Clinical Peer Review RN
VirtualVocationsMoreno Valley, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tennessee and Missouri RN Clinical Review Coordinator
VirtualVocationsSan Bernardino, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Licensed Physical Therapy Reviewer
VirtualVocationsSan Bernardino, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Georgia Licensed Clinical Policy Manager
VirtualVocationsMoreno Valley, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Licensed Clinical Quality Associate
VirtualVocationsIrvine, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tax Expert - 2+ Yrs Paid Tax Experience Required
IntuitPHELAN, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
TX and GA Licensed Clinical Manager
VirtualVocationsCorona, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Tennessee Licensed Senior Medical Reviewer
VirtualVocationsRiverside, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Missouri Licensed Utilization Review Lead
VirtualVocationsIrvine, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
NC Licensed VP of Clinical Operations
VirtualVocationsMission Viejo, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Florida Licensed Clinical Review Nurse
VirtualVocationsMission Viejo, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tax Expert - Local
IntuitPHELAN, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - ICU - Intensive Care Unit - $2363 / Week
Fusion Medical StaffingWildomar, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - ICU - Intensive Care Unit - $2363 / Week - Hiring Now
Fusion Medical StaffingWildomar, CA, USserp_jobs.job_card.full_time