Talent.com
Alabama Licensed Medical Reviewer

Alabama Licensed Medical Reviewer

VirtualVocationsAbilene, 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 Medical Reviewer II to perform medical reviews and support medical claims.

Key Responsibilities

Conducts medical claim reviews and determines medical necessity based on established criteria and guidelines

Educates staff on medical reviews, terminology, and coverage determinations

Participates in quality control activities and provides guidance to team members

Required Qualifications

Associate Degree in Nursing or Graduate of an Accredited School of Nursing

Active, unrestricted RN license from the United States or a compact multistate RN license

Two years of clinical experience as an RN

Proficiency in Microsoft Office

serp_jobs.job_alerts.create_a_job

Medical Reviewer • Abilene, Texas, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Medical Review Contractor

Medical Review Contractor

VirtualVocationsAbilene, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Review Contractor to serve as a liaison to cross-functional teams and incorporate current medical information into departmental resources.Key Responsibilities P...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
California Licensed Concurrent Review Nurse

California Licensed Concurrent Review Nurse

VirtualVocationsAbilene, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Concurrent Review Nurse (RN) (Temporary).Key Responsibilities Performs concurrent, post-service, and retrospective reviews of acute in-patient care services using estab...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Licensed Physical Therapy Reviewer

Licensed Physical Therapy Reviewer

VirtualVocationsAbilene, 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_days
  • serp_jobs.job_card.promoted
Medical Bill Reviewer

Medical Bill Reviewer

VirtualVocationsAbilene, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Bill Reviewer-100% remote (EST or CST time zone).Key Responsibilities Identify provider participation status when automated processes fail Apply PPO guidelines...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Florida Licensed Clinical Review Nurse

Florida Licensed Clinical Review Nurse

VirtualVocationsAbilene, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to determine members' overall health and appropriate level of care Reviews q...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Travel Registered Nurse - Labor & Delivery - $2,212 per week in Abilene, TX

Travel Registered Nurse - Labor & Delivery - $2,212 per week in Abilene, TX

TravelNurseSourceAbilene, TX, US
serp_jobs.job_card.full_time
TravelNurseSource is working with GO Healthcare Staffing to find a qualified Labor / Delivery RN in Abilene, Texas, 79601!. Our client in Abilene TX has a.The ideal candidate must have at least 2 year...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Reviewer III

Medical Reviewer III

VirtualVocationsAbilene, Texas, United States
serp_jobs.job_card.part_time
A company is looking for a Medical Reviewer III for a remote position.Key Responsibilities Provide medical review consultancy to support US Immunology Medical Affairs teams Ensure compliance wit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Travel Nurse RN - Labor & Delivery - $2,212 per week in Abilene, TX

Travel Nurse RN - Labor & Delivery - $2,212 per week in Abilene, TX

TravelNurseSourceAbilene, TX, US
serp_jobs.job_card.full_time
TravelNurseSource is working with GO Healthcare Staffing to find a qualified Labor / Delivery RN in Abilene, Texas, 79601!. Our client in Abilene TX has a.The ideal candidate must have at least 2 year...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Physical Therapy Assistant

Travel Physical Therapy Assistant

Ardor Health SolutionsBaird, TX, US
serp_jobs.job_card.full_time
Ardor Health Solutions is seeking a travel Rehab Technician for a travel job in Baird, Texas.Job Description & Requirements. Ardor Health Solutions is looking for a Physical Therapist Assistant ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Virginia Licensed Lead Clinical Reviewer

Virginia Licensed Lead Clinical Reviewer

VirtualVocationsAbilene, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Lead Clinical Reviewer to join their team.Key Responsibilities Review medical records against criteria to determine medical appropriateness Guide team members and supp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
California Licensed Clinical Appeals RN

California Licensed Clinical Appeals RN

VirtualVocationsAbilene, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals RN - Fully Remote.Key Responsibilities Review medical records to verify service criteria and clinical eligibility for coverage Coordinate reviews with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Texas Licensed Clinical Abstract RN

Texas Licensed Clinical Abstract RN

VirtualVocationsAbilene, 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_days
  • serp_jobs.job_card.promoted
Florida Licensed Preservice Review Nurse

Florida Licensed Preservice Review Nurse

VirtualVocationsAbilene, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Preservice Review Nurse RN - Remote.Key Responsibilities Perform clinical coverage review services, interpreting state and federal mandates and clinical information Co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Remote Medical Coding Reviewer

Remote Medical Coding Reviewer

VirtualVocationsAbilene, Texas, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a Medical Coding Reviewer I.Key Responsibilities Perform clinical / coding medical claim review to ensure compliance with coding practices Analyze provider billing practic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Florida Licensed Medical Adjuster

Florida Licensed Medical Adjuster

VirtualVocationsAbilene, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Worker's Comp Medical Only Adjuster.Key Responsibilities Conduct initial investigations of assigned medical-only claims and contact relevant parties within 48 hours Re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Travel Nurse RN - Labor & Delivery - $1,858 to $2,060 per week in Abilene, TX

Travel Nurse RN - Labor & Delivery - $1,858 to $2,060 per week in Abilene, TX

TravelNurseSourceAbilene, TX, US
serp_jobs.job_card.full_time
TravelNurseSource is working with LRS Healthcare to find a qualified Labor / Delivery RN in Abilene, Texas, 79601!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Oregon Licensed Clinical Peer Review RN

Oregon Licensed Clinical Peer Review RN

VirtualVocationsAbilene, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Peer Review RN Coordinator (Performance Improvement).Key Responsibilities Coordinate and manage peer review processes with precision and discretion Serve as a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
California Licensed Medical Coder IV

California Licensed Medical Coder IV

VirtualVocationsAbilene, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Remote Medical Coder IV.Key Responsibilities Assign codes for diagnoses, treatments, and procedures according to classification systems for inpatient admissions Review...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days