Delaware Licensed Clinical Review NurseVirtualVocations • Chattanooga, Tennessee, United States
Delaware Licensed Clinical Review Nurse
VirtualVocations • Chattanooga, Tennessee, 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 Nurse - Prior Authorization.
Key Responsibilities
Analyzes prior authorization requests to determine medical necessity and appropriate level of care
Provides recommendations to medical teams to promote quality and cost-effective care
Documents and maintains members' clinical information in health management systems for compliance
Required Qualifications
Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing
2-4 years of related experience preferred
Licensed Practical Nurse (LPN) - State Licensure required
RN license required for specific locations
serp_jobs.job_alerts.create_a_job
Clinical Review Nurse • Chattanooga, Tennessee, United States
Job_description.internal_linking.related_jobs A company is looking for a Care Review Clinician (RN).Key Responsibilities Assess services for members to ensure optimum outcomes and compliance with regulations Analyze clinical service request...serp_jobs.internal_linking.show_more A company is looking for a Triage Nurse (Remote, Contact Center).Key Responsibilities Provide high-quality, efficient, and compassionate care to patients via telephone triage Assess patient need...serp_jobs.internal_linking.show_more A company is looking for a Senior Clinical Appeals RN.Key Responsibilities Analyze and respond to DRG appeals, including complex conceptual analyses Review medical records and collaborate with a...serp_jobs.internal_linking.show_more 
ABOUT WILLIAMSON HEALTH | Williamson Health is a regional healthcare system based in Williamson County, Tennessee, with more than 2,300 employees across more than 30 locations and more than 860 phy...serp_jobs.internal_linking.show_more A company is looking for a Utilization Review Clinician - ABA.Key Responsibilities Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services Performs prior ...serp_jobs.internal_linking.show_more A company is looking for a Director, Clinical Excellence (Post Acute, VBC).Key Responsibilities Lead the operational delivery of the post-acute care program to ensure coordinated patient transiti...serp_jobs.internal_linking.show_more A company is looking for a Clinical Reviewer to perform Utilization Management and review clinical information for service requests.
Key Responsibilities Evaluate referral appropriateness for serv...serp_jobs.internal_linking.show_more A company is looking for a Registered Nurse Disease Manager for a remote position.Key Responsibilities Perform assessments and provide education and training to coordinate care for dependents of ...serp_jobs.internal_linking.show_more A company is looking for a LumiLink Registered Nurse for a weekend remote position.Key Responsibilities Professionally answer LumiLink calls for health-related concerns Triaging needs and making...serp_jobs.internal_linking.show_more 
Hospice of Chattanooga is looking for a Registered Nurse (RN) with strong clinical knowledge and supervisory experience to lead an amazing team of clinicians as their Clinical Director.If you are a...serp_jobs.internal_linking.show_more
MedPro Healthcare Staffing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Jasper, Tennessee.
Job Description & Requirements.Joint Commission-certified staffing agen...serp_jobs.internal_linking.show_more
Health Advocates Network - Nursing is seeking a travel nurse RN Dialysis for a travel nursing job in Chattanooga, Tennessee.
Job Description & Requirements.Pay package is based on 10 hour shifts...serp_jobs.internal_linking.show_more A company is looking for a Remote Case Manager.Key Responsibilities : Collaborate with a multidisciplinary healthcare team to monitor utilization patterns and facilitate appropriate care delivery ...serp_jobs.internal_linking.show_more Key Responsibilities Conduct MS-DRG and APR-DRG coding reviews to verify accuracy and identify overpayments Perform clinical coding reviews ensuring accuracy and compliance with coding guideline...serp_jobs.internal_linking.show_more A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to determine overall health and appropriate level of care for members Review...serp_jobs.internal_linking.show_more A company is looking for a Clinical Quality Nurse Reviewer, Sr.Key Responsibilities Perform QA checks on complex clinical claim reviews Review and analyze claim data and medical records using ap...serp_jobs.internal_linking.show_more A company is looking for a RN Care Review Clinician Critical Care to provide support for clinical member services review assessment processes.
Key Responsibilities Assesses services for members to...serp_jobs.internal_linking.show_more A company is looking for a Lead Triage RN - Manager- Nights - Registered Nurse.Key Responsibilities Conduct thorough telephonic assessments and address patient concerns Develop resources, traini...serp_jobs.internal_linking.show_more
Arizona Licensed Care Review Clinician
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
North Carolina Licensed Triage Nurse
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
State Licensed Senior Clinical Appeals RN
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Licensed Practical Nursing - Medical / Oncology - Full Time Days
Williamson Health • New Hope, TN, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Licensed Utilization Review Clinician
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
State Licensed Director of Clinical Excellence
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
State Licensed Clinical Reviewer
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Hawaii Licensed Disease Management Nurse
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Delaware Licensed Registered Nurse
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN Clinical Director
Hospice of Chattanooga • Chattanooga, TN, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Nurse RN - OR - Operating Room
MedPro Healthcare Staffing • Jasper, TN, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Dialysis
Health Advocates Network - Nursing • Chattanooga, TN, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
North Carolina Licensed Case Manager, RN
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Remote Clinical Claim Review RN
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Arizona Licensed Clinical Review Nurse
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Texas Licensed Clinical Quality Nurse
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Washington RN Care Review Clinician
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Multistate Licensed Lead Triage RN
VirtualVocations • Chattanooga, Tennessee, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted