serp_jobs.error_messages.no_longer_accepting

Tennessee Licensed Clinical Review Manager

VirtualVocationsIndianapolis, Indiana, United States

job_description.job_card.30_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 Manager to oversee clinical information and ensure appropriate care for members.

Key Responsibilities

Research clinical information from providers using CMS guidelines to ensure members receive necessary services

Initiate referrals and coordinate care while consulting with the Medical Director as needed

Assist with administrative reviews and perform comprehensive appeals and claim reviews

Required Qualifications

Active Registered Nurse (RN) license in Tennessee or a participating Nurse Licensure Compact state

Minimum of 3 years of clinical experience

Proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint)

Knowledge of URAC, NCQA, and CMS accreditations

Ability to work independently in a fast-paced environment

serp_jobs.job_alerts.create_a_job

Review Manager • Indianapolis, Indiana, United States

Job_description.internal_linking.related_jobs

serp_jobs.job_card.promoted

Travel Nurse RN - OR - Operating Room

ALOIS HealthcareLebanon, IN, US

serp_jobs.job_card.full_time

ALOIS Healthcare is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Lebanon, Indiana.Job Description & Requirements. Operating room nurses provide direct and individual...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Travel Nurse RN - Case Manager - $2,466 per week in Fort Wayne, IN

TravelNurseSourceIndianapolis, Indiana, US

serp_jobs.job_card.full_time

TravelNurseSource is working with Medical Solutions to find a qualified Case Manager RN in Fort Wayne, Indiana, 46845!.A facility in Fort Wayne, IN is seeking its next amazing RN (Registered Nurse)...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Florida Licensed Clinical Coordinator

VirtualVocationsIndianapolis, Indiana, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Performance Improvement Coordinator.Key Responsibilities Facilitates the review, investigation, and processing of clinical event referrals Monitors, analyzes,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Travel Nurse RN - Case Manager - $1,712 per week in Indianapolis, IN

TravelNurseSourceIndianapolis, IN, US

serp_jobs.job_card.full_time

TravelNurseSource is working with Cynet Health to find a qualified Case Manager RN in Indianapolis, Indiana, 46260!.Job Title : RN Case Manager Profession : RN Case Manager Specialty : RN Case Man...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less

serp_jobs.job_card.promoted

Travel Operating Room RN (C-Section & Orthopedic) - $2,406 per week

Assured NursingLebanon, IN, United States

serp_jobs.job_card.full_time

Assured Nursing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Lebanon, Indiana.Job Description & Requirements. Assured Nursing is currently seeking a.The ideal candida...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Sr. Manager, Access & Reimbursement Manager - (Indianapolis, IN)

EisaiIndianapolis, IN, United States

serp_jobs.job_card.full_time

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission.We're a growing pharm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Travel RN Case Manager

American TravelerIndianapolis, IN, US

serp_jobs.job_card.full_time

American Traveler is seeking a travel nurse RN Case Management for a travel nursing job in Indianapolis, Indiana.Job Description & Requirements. American Traveler is hiring an RN Case Manager wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Travel Operating Room RN (C-Section & Orthopedic)

PRN HealthcareLebanon, IN, US

serp_jobs.job_card.full_time

PRN Healthcare is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Lebanon, Indiana.Job Description & Requirements. PRN Healthcare Job ID #1453009.Pay package is based o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Travel Medical-Surgical RN (Telemetry)

Nightingale NursesLebanon, IN, US

serp_jobs.job_card.full_time

Nightingale Nurses is seeking a travel nurse RN Med Surg for a travel nursing job in Lebanon, Indiana.Job Description & Requirements. You may not realize it, but as an RN with real world hospita...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Licensed RN Clinical Appeals Reviewer

VirtualVocationsIndianapolis, Indiana, United States

serp_jobs.job_card.full_time

A company is looking for an IBR Clinical Appeals Reviewer who will analyze and respond to client and hospital claim review appeal inquiries. Key Responsibilities : Analyze scope and resolution of I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour

RN Clinical Reviewer

CBIZUSA, Indiana, Indianapolis

serp_jobs.job_card.full_time

Myers and Stauffer LC is a certified public accounting and health care reimbursement consulting firm, specializing in audit, accounting, data management and consulting services to government-sponso...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Travel Operating Room RN (C-Section & Orthopedic)

Assured NursingLebanon, IN, US

serp_jobs.job_card.full_time

Assured Nursing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Lebanon, Indiana.Job Description & Requirements. Assured Nursing is currently seeking a.The ideal can...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Travel RN Case Manager

Ardor Health SolutionsIndianapolis, IN, US

serp_jobs.job_card.full_time

Ardor Health Solutions is seeking a travel nurse RN Care Manager for a travel nursing job in Indianapolis, Indiana.Job Description & Requirements. Ardor Health Solutions is looking for a Case Ma...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Travel Operating Room RN (C-Section & Orthopedic)

Nightingale NursesLebanon, IN, US

serp_jobs.job_card.full_time

Nightingale Nurses is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Lebanon, Indiana.Job Description & Requirements. You may not realize it, but as an RN with real wo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Senior Manager, Clinical Contracts

VirtualVocationsIndianapolis, Indiana, United States

serp_jobs.job_card.full_time

A company is looking for a Senior Manager, Clinical Contracts and Outsourcing.Key Responsibilities Execute and manage contracts (SOWs, CDAs, MSAs) in collaboration with Legal / Compliance teams En...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Travel RN Case Manager - $2,203 per week

Ardor Health SolutionsIndianapolis, IN, United States

serp_jobs.job_card.full_time

Ardor Health Solutions is seeking a travel nurse RN Care Manager for a travel nursing job in Indianapolis, Indiana.Job Description & Requirements. Ardor Health Solutions is looking for a Case Manage...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 Vendor Manager

VirtualVocationsIndianapolis, Indiana, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Vendor Manager to oversee clinical vendor partnerships and ensure effective delivery of clinical programs and services. Key Responsibilities Serve as the primar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Oregon Licensed Clinical Pharmacy Manager

VirtualVocationsSouthport, Indiana, United States

serp_jobs.job_card.full_time

A company is looking for a Manager Clinical Pharmacy Client Services.Key Responsibilities Manages and provides leadership to a clinical team, focusing on mentorship and performance management Le...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Travel Operating Room RN (C-Section & Orthopedic) - $2,138 per week

PRN HealthcareLebanon, IN, United States

serp_jobs.job_card.full_time

PRN Healthcare is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Lebanon, Indiana.Job Description & Requirements. PRN Healthcare Job ID #1453009.Pay package is based on 8 ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Illinois Licensed Telephonic Case Manager

VirtualVocationsIndianapolis, Indiana, United States

serp_jobs.job_card.full_time

A company is looking for a Telephonic Case Manager.Key Responsibilities Collaborate with healthcare providers and employers to create and implement treatment plans for injured or disabled individ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours