Talent.com
Virginia Licensed Clinical Reviewer

Virginia Licensed Clinical Reviewer

VirtualVocationsLawrenceville, Georgia, 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.

Key Responsibilities

Review medical records against criteria to determine medical appropriateness

Guide team members and support training and documentation efforts

Perform quality monitoring and audits to identify areas for improvement

Required Qualifications

Active and unrestricted Licensed Clinical Social Worker (LCSW) license for the state of Virginia

Master's degree from an accredited college in a relevant degree program

2+ years of experience in Prior Authorization, Utilization Review (UR), or Utilization Management (UM)

serp_jobs.job_alerts.create_a_job

Clinical Reviewer • Lawrenceville, Georgia, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Inpatient DRG Sr. Reviewer

Inpatient DRG Sr. Reviewer

Zelis Healthcare, LLCAtlanta, GA, United States
serp_jobs.job_card.full_time
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Care Review Clinician

Care Review Clinician

Careers Integrated Resources IncAtlanta, GA, US
serp_jobs.job_card.full_time
Job Title : Care Review Clinician.Duration : 04+ months (possible extension).Will these roles be fully remote? Yes.Are there any specific locations the candidates should be in? They would preferably ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinical Instructor / RN

Clinical Instructor / RN

Emory HealthcareAtlanta, GA, United States
serp_jobs.job_card.full_time
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that e...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
RN Clinical Supervisor

RN Clinical Supervisor

Aveanna HealthcareStockbridge, GA, US
serp_jobs.job_card.full_time
Position : Clinical Supervisor (RN).Join a Company That Puts People First!.Aveanna Healthcare is one of the largest private-duty nursing companies in the nation, with a growing presence and an award...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Travel ICU RN

Travel ICU RN

Fusion Medical StaffingDuluth, GA, US
serp_jobs.job_card.full_time
Facility in Johns Creek, Georgia.Fusion Medical Staffing is seeking a ICU RN for a 13-week travel assignment in Johns Creek, Georgia. As a member of our team, you'll have the opportunity to make...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Travel Nurse - RN - ICU - Intensive Care Unit - $1656 / Week - Hiring Now

Travel Nurse - RN - ICU - Intensive Care Unit - $1656 / Week - Hiring Now

Fusion Medical StaffingLithonia, GA, US
serp_jobs.job_card.full_time
Fusion Medical Staffing is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Lithonia, GA. Shift : Inquire Start Date : 11 / 10 / 2025 Duration : 13 weeks Pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Inpatient DRG Reviewer

Inpatient DRG Reviewer

Zelis Healthcare, LLCAtlanta, GA, United States
serp_jobs.job_card.full_time
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Sr. Supervisor, Clinical Chart Review

Sr. Supervisor, Clinical Chart Review

Zelis Healthcare, LLCAtlanta, GA, United States
serp_jobs.job_card.full_time
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Nurse - RN - Home Health

Travel Nurse - RN - Home Health

Fusion Medical StaffingWinder, GA, US
serp_jobs.job_card.full_time
Fusion Medical Staffing is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in Winder, GA. Shift : Inquire Start Date : ASAP Duration : 13 weeks.Fusion Medical Sta...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Nurse - RN - ER - Emergency Room - $1492 / Week

Travel Nurse - RN - ER - Emergency Room - $1492 / Week

Fusion Medical StaffingMonroe, GA, US
serp_jobs.job_card.full_time
Fusion Medical Staffing is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Monroe, GA. Shift : Inquire Start Date : 10 / 20 / 2025 Duration : 12 weeks Pay : $149...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Utilization Management and Clinical Documentation Improvement Director - RN Required

Utilization Management and Clinical Documentation Improvement Director - RN Required

Northeast Georgia Health SystemGainesville, GA, US
serp_jobs.job_card.full_time
The Director of Utilization Management (UM) and Clinical Documentation Improvement (CDI) is responsible for leading and managing the Utilization Management (UM) and Clinical Documentation Improveme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Manager - ICU

Clinical Manager - ICU

Piedmont Rockdale HospitalConyers, GA, US
serp_jobs.job_card.full_time
Administrative and operational responsibility for assigned departments, including management of cost and.Shared Governance Model focused on promoting the mission, vision and.PHC and Nursing Profess...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Dispute Reviewer

Clinical Dispute Reviewer

Zelis Healthcare, LLCAtlanta, GA, United States
serp_jobs.job_card.full_time
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Manager - RN, Cath Lab

Clinical Manager - RN, Cath Lab

Piedmont HealthcareSnellville, GA, US
serp_jobs.job_card.full_time
Clinical Manager - RN, Cath Lab.Responsible for administrative and operational responsibility for assigned departments including management of human resources, routine operations, quality of care a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Imaging Mgr

Clinical Imaging Mgr

Piedmont Eastside Medical CenterLoganville, GA, United States
serp_jobs.job_card.full_time
This position will be responsible for both locations at our Snellville and Loganville Georgia offices.Administrative and operational responsibility for assigned departments, including management of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinical Manager (RN)

Clinical Manager (RN)

Georgia Hospice CareLawrenceville, GA, US
serp_jobs.job_card.full_time
Become an RN Clinical Supervisor with Georgia Hospice Care.We are looking for impeccable leaders to join our team who are committed to creating meaningful patient experiences.As a clinical supervis...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Instructor / RN

Clinical Instructor / RN

Emory Health CareAtlanta, GA, United States
serp_jobs.job_card.full_time
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that e...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
RN, - Clinical Manager, Cath Lab

RN, - Clinical Manager, Cath Lab

Piedmont Eastside Medical CenterSnellville, GA, US
serp_jobs.job_card.full_time
RN with a minimum of 2 years experience.Must obtain ACLS and Rhythm Recognition Certification within 90 days of hire.Administrative and operational responsibility for assigned departments including...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Instructor / RN (Atlanta)

Clinical Instructor / RN (Atlanta)

Emory HealthcareAtlanta, GA, United States
serp_jobs.job_card.full_time
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that e...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Travel Nurse - RN - ICU - Intensive Care Unit - $1656 / Week

Travel Nurse - RN - ICU - Intensive Care Unit - $1656 / Week

Fusion Medical StaffingLithonia, GA, US
serp_jobs.job_card.full_time
Fusion Medical Staffing is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Lithonia, GA. Shift : Inquire Start Date : 11 / 10 / 2025 Duration : 13 weeks Pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours