Talent.com
Virginia Licensed Clinical Reviewer

Virginia Licensed Clinical Reviewer

VirtualVocationsGarland, Texas, 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 • Garland, Texas, United States

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

Inpatient DRG Sr. Reviewer

Zelis Healthcare, LLCPlano, TX, 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 - LPN - LTC - Long Term Care - $1071.36 / Week

Travel Nurse - LPN - LTC - Long Term Care - $1071.36 / Week

CrossMed HealthcareRockwall, TX, US
serp_jobs.job_card.full_time
CrossMed Healthcare is seeking an experienced Long Term Care Licensed Practical Nurse for an exciting Travel Nursing job in Rockwall, TX. Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $107...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Tennessee Licensed Clinical Review Manager

Tennessee Licensed Clinical Review Manager

VirtualVocationsArlington, Texas, United States
serp_jobs.job_card.full_time
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 ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinical Dispute Reviewer

Clinical Dispute Reviewer

Zelis Healthcare, LLCPlano, TX, 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
Tennessee and Missouri RN Clinical Review Coordinator

Tennessee and Missouri RN Clinical Review Coordinator

VirtualVocationsIrving, Texas, United States
serp_jobs.job_card.full_time
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_1_day
  • serp_jobs.job_card.promoted
Travel Nurse - RN - ER - Emergency Room - $1562.4 / Week - Hiring Now

Travel Nurse - RN - ER - Emergency Room - $1562.4 / Week - Hiring Now

CrossMed HealthcareKaufman, TX, US
serp_jobs.job_card.full_time
CrossMed Healthcare is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Kaufman, TX. Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $1562.At Cros...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
RN Clinical Team Lead - FT - Days - Neuro / Pulmonary

RN Clinical Team Lead - FT - Days - Neuro / Pulmonary

Methodist Health SystemDallas, TX, US
serp_jobs.job_card.full_time
X3 Day (United States of America).The Clinical Team Leader performs direct patient care as the charge nurse and maintains a safe and therapeutic environment. Graduate from an accredited school of nu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Tennessee Licensed Senior Medical Reviewer

Tennessee Licensed Senior Medical Reviewer

VirtualVocationsGrand Prairie, Texas, United States
serp_jobs.job_card.full_time
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_less
  • serp_jobs.job_card.promoted
Clinic RN Supervisor

Clinic RN Supervisor

Baylor Scott & White HealthPlano, TX, US
serp_jobs.job_card.full_time
Location : Baylor Plano Regional Medical Center.Shift : Full Time Days, 8 hr shifts.The Supervisor, Nursing Registered Nurse (RN) is responsible for supervision of assigned nursing and unit-based per...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
RN Clinical Manager

RN Clinical Manager

Anchor Home Health CareDallas, TX, US
serp_jobs.job_card.full_time
Family First Homecare provides exceptional homecare services to children with life-long health conditions.We live by our values of telling the truth, owning the details, and raising the bar, workin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Licensed Physical Therapy Reviewer

Licensed Physical Therapy Reviewer

VirtualVocationsIrving, Texas, United States
serp_jobs.job_card.full_time
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_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Texas Licensed Clinical Abstract RN

Texas Licensed Clinical Abstract RN

VirtualVocationsGarland, Texas, United States
serp_jobs.job_card.full_time
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_variable_hours
  • serp_jobs.job_card.promoted
Travel Nurse - RN - ER - Emergency Room - $1562.4 / Week

Travel Nurse - RN - ER - Emergency Room - $1562.4 / Week

CrossMed HealthcareKaufman, TX, US
serp_jobs.job_card.full_time
CrossMed Healthcare is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Kaufman, TX. Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $1562.At Cros...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Virginia Licensed Clinical Reviewer

Virginia Licensed Clinical Reviewer

VirtualVocationsGrand Prairie, Texas, United States
serp_jobs.job_card.full_time
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 do...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Virginia Licensed Urology Reviewer

Virginia Licensed Urology Reviewer

VirtualVocationsGrand Prairie, Texas, United States
serp_jobs.job_card.full_time
A company is looking for Board Certified Physician Reviewers specializing in Urology with a Virginia License.Key Responsibilities Evaluate medical records and provide clinical summaries Engage i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
NC Licensed Clinical Services VP

NC Licensed Clinical Services VP

VirtualVocationsCarrollton, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a VP, Clinical Services to provide leadership and oversight for Clinical Services and Casualty departments. Key Responsibilities Oversee all Clinical Services functions an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Sr Regional VP, Clinical Documentation

Sr Regional VP, Clinical Documentation

CorroHealthPlano, TX, US
serp_jobs.job_card.full_time
Strategic Sales Leadership Position.Our purpose is to help clients exceed their financial health goals.Across the reimbursement cycle, our scalable solutions and clinical expertise help solve progr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
RN Clinical Manager

RN Clinical Manager

Family First HomecareDallas, TX, US
serp_jobs.job_card.full_time
Partners with the Director of Nursing (DON) and Director of Operations (DOO) in identifying, interviewing, and onboarding caregivers . Provides supervision, leadership, training, guidance...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Minnesota Licensed Urology Reviewer

Minnesota Licensed Urology Reviewer

VirtualVocationsCarrollton, Texas, United States
serp_jobs.job_card.full_time
A company is looking for Board Certified Physician Reviewers specializing in Urology with a Minnesota license.Key Responsibilities Evaluate medical records and provide clinical summaries Engage ...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 - OR - Operating Room - $1932.5 / Week

Travel Nurse - RN - OR - Operating Room - $1932.5 / Week

Host HealthcareMcKinney, TX, US
serp_jobs.job_card.full_time
Host Healthcare is seeking an experienced Operating Room Registered Nurse for an exciting Travel Nursing job in McKinney, TX. Shift : 10 hr days Start Date : 11 / 03 / 2025 Duration : 13 weeks Pay : $1932.A...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours