Iowa Licensed Clinical Review Technician

VirtualVocationsLafayette, Louisiana, 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 Clinical Review Technician - CPhT.

Key Responsibilities

Conduct clinical assessments to evaluate medication therapy appropriateness as part of the prior authorization process

Communicate clinical review decisions to pharmacies and providers

Provide mentorship to the Data Entry Specialist team and assist with patient or provider requests

Required Qualifications, Training, and Education

Pharmacy technician certification

Detail-oriented with a high degree of accuracy

Strong understanding of Microsoft Office (Word, Excel, PowerPoint)

Familiarity with data entry software or CRM systems is a plus

Ability to work independently and manage time effectively

serp_jobs.job_alerts.create_a_job

Clinical Technician • Lafayette, Louisiana, United States

Job_description.internal_linking.related_jobs

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Iowa Licensed Credentialing Specialist

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for a Credentialing Specialist to manage provider credentialing in an urgent care / primary care setting. Key Responsibilities Enroll providers with payors and manage contractin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Washington Licensed Endocrinology Reviewer

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for Board Certified Physician Reviewers in Endocrinology with a Washington license.Key Responsibilities Evaluate medical records and provide clinical summaries Engage in pee...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Iowa Licensed Clinical Review Pharmacist

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Review Pharmacist to support prior authorization reviews and collaborate with healthcare providers. Key Responsibilities Evaluate and interpret clinical guideli...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Texas Licensed Clinical Review Nurse

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Perform concurrent reviews to assess member health and appropriate level of care Review quality and cont...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Iowa Licensed RN Case Manager

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for an RN Case Manager to provide comprehensive case management services remotely.Key Responsibilities : Provide telephonic case management and utilization review for assigned...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

D.C. Licensed Ophthalmology Reviewer

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for Board Certified Physician Reviewers in Ophthalmology with a D.Key Responsibilities Evaluate medical records and provide clinical summaries Engage in peer communications ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Clinical Auditor with RN License

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Auditor 2.Key Responsibilities Performs audits of medical records for denials review, defense audits, disallowed charges, and utilization reviews Completes an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Texas Licensed Radiation Oncologist Reviewer

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for Board Certified Physician Reviewers specializing in Radiation Oncology with a Texas license.Key Responsibilities Evaluate medical records and provide clinical summaries ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted
serp_jobs.job_card.new

D.C. Licensed Medical Oncology Reviewer

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for Board Certified Physician Reviewers in Medical Oncology with a D.Key Responsibilities Evaluate medical records and provide clinical summaries Engage in peer communicatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Florida Licensed Clinical Therapist

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for a Licensed Clinical Therapist (LCSW / LMHC / LMFT) for an Adult Intensive Outpatient Virtual Group. Key Responsibilities Provide virtual IOP remote group coverage via video co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

California Licensed Clinical Therapist

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for a Licensed Clinical Therapist (LCSW / LPCC / LMFT) for a remote Adult Intensive Outpatient Program. Key Responsibilities Provide virtual IOP remote group therapy via video con...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Indiana Licensed Clinical Supervisor RN

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Supervisor - RN - Full-time (Remote U.Key Responsibilities Lead and oversee all Utilization Management (UM) activities, ensuring accuracy and timely completion...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

New York Licensed Clinical Review Nurse

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Review Nurse - Prior Authorization.Key Responsibilities Analyze prior authorization requests to determine medical necessity and appropriate level of care Coor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Texas Licensed Clinical Genetics Reviewer

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for Board Certified Physician Reviewers in Clinical Genetics with a Texas license.Key Responsibilities Evaluate medical records and provide clinical summaries Engage in peer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Connecticut Licensed LPN Chart Reviewer

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for a Licensed Practical Nurse (LPN) Chart Reviewer for a long-term project.Key Responsibilities Audit patient files electronically to abstract pertinent data and identify ga...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Iowa Credentialing Specialist

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for a Credentialing Specialist to manage provider credentialing in an urgent care / primary care setting. Key Responsibilities Enroll providers with necessary payors and manage ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Ohio Licensed Clinical Documentation Director

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for an Associate Director, Clinical Documentation Integrity.Key Responsibilities Oversee the Clinical Documentation Improvement (CDI) program and manage the CDI team Provide...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Ohio Licensed Ambulatory Care RN

VirtualVocationsLafayette, Louisiana, United States

serp_jobs.job_card.full_time

A company is looking for a Registered Nurse Ambulatory Care Manager (RN) - Population Health.Key Responsibilities Provide clinical care management services to eligible patients, coordinating care...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days