Texas Licensed Clinical Review Nurse
VirtualVocationsNorth Hollywood, California, United Statesjob_description.job_card.30_days_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 - Concurrent Review.
Key Responsibilities
Perform concurrent reviews to assess member health and appropriate level of care
Review quality and continuity of care, including acuity levels and discharge planning
Collaborate with healthcare providers and Medical Affairs on care determinations and recommendations
Required Qualifications, Training, and Education
Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing
2 - 4 years of related experience, with 2+ years in acute care required
Compact RN or LVN / LPN License required
Knowledge of Medicare and Medicaid regulations preferred
Familiarity with utilization management processes preferred
serp_jobs.job_alerts.create_a_job
Clinical Review Nurse • North Hollywood, California, United States
Job_description.internal_linking.related_jobs
Clinical Review Nurse - Concurrent Review.Remote - California, Must either reside in CA or hold a CA license, and work hours listed.
Training 8 am-5 pm PST - about a month-long learning journey / Wor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Registered Nurse (RN), Auditor.Key Responsibilities Review bills for accuracy compared to medical records Identify and correct ongoing problems through documentation r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Bilingual Registered Nurse (RN) to work from home.Key Responsibilities Provide telehealth and virtual care clinical triage assessments and health education to patients ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
TravelNurseSource is working with JobSquad to find a qualified LTAC RN in Quincy, California, 95971!.We are currently seeking a qualified RN for an opening with one of our clients in Quincy, CA.Pos...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 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 A company is looking for a Manager, Vendor Clinical Policy to join their Clinical Policy team.Key Responsibilities Evaluate vendor policy sets to ensure compliance with internal and external medi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Atlas MedStaff is seeking an experienced Outpatient Clinic Licensed Practical Nurse for an exciting Travel Nursing job in Beverly Hills, CA.
Shift : 5x8 hr days Start Date : 10 / 20 / 2025 Duration : 13 we...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Medical Solutions is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Woodland Hills, CA.
Shift : 2x12 hr nights Start Date : 11 / 17 / 2025 Duration : 14 w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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_30 TravelNurseSource is working with LRS Healthcare to find a qualified OR RN in Lakewood, California, 90712!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Clinical Documentation Specialist RN.Key Responsibilities Conducts concurrent reviews of clinical documentation in medical records to ensure compliance and accuracy for...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Medical Solutions is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Woodland Hills, CA.
Shift : 2x12 hr days Start Date : 10 / 13 / 2025 Duration : 13 wee...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days TravelNurseSource is working with Openwork Health to find a qualified LTAC RN in Quincy, California, 95971!.Openwork Health Is Hiring! Let’s Chase Big Dreams—Together.
We’re not your average travel ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day TravelNurseSource is working with Openwork Health to find a qualified LTAC RN in Quincy, California, 95971!.Openwork Health Is Hiring! Let’s Chase Big Dreams—Together.
We’re not your average travel ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day Medical Solutions is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Woodland Hills, CA.
Shift : 2x12 hr nights Start Date : 10 / 13 / 2025 Duration : 13 w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days TravelNurseSource is working with AMN Healthcare to find a qualified ICU / Critical Care RN in WOODLAND HILLS, California, 91367!.
Job Description & Requirements.Registered Nurse – Intensive Care ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 A company is looking for a Nurse Itemized Bill Reviewer (IBR Analyst).Key Responsibilities Perform in-depth reviews of medical claims using UB-04 and itemized statements Verify accuracy of itemi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the way that care is delivered.
Skilled Wound Care is looking for a.RN / L...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
Clinical Review Nurse - Concurrent Review
Spectraforce TechnologiesLos Angeles, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Tennessee Licensed RN Auditor
VirtualVocationsWhittier, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Bilingual RN - Multi-State Licensed
VirtualVocationsFullerton, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Registered Nurse - LTAC - $1,560 to $2,500 per week in Quincy, CA
TravelNurseSourceLos Angeles, California, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Clinical Review Nurse
VirtualVocationsBurbank, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Concurrent Review Nurse
VirtualVocationsTorrance, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Texas Licensed Clinical Policy Manager
VirtualVocationsWhittier, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - LPN - Outpatient Clinic - $1390.91 / Week
Atlas MedStaffBeverly Hills, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - ICU - Intensive Care Unit - $2932.14 / Week - Hiring Now
Medical SolutionsWoodland Hills, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tennessee Licensed Clinical Review Manager
VirtualVocationsNorwalk, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - OR - $929 to $1,030 per week in Lakewood, CA
TravelNurseSourceLos Angeles, California, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Colorado Licensed Clinical Documentation Specialist RN
VirtualVocationsVan Nuys, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - ICU - Intensive Care Unit - $3271.16 / Week - Hiring Now
Medical SolutionsWoodland Hills, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - LTAC - $2,863 per week in Quincy, CA
TravelNurseSourceLos Angeles, California, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Registered Nurse - LTAC - $2,863 per week in Quincy, CA
TravelNurseSourceLos Angeles, California, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - ICU - Intensive Care Unit - $3272.76 / Week - Hiring Now
Medical SolutionsWoodland Hills, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - ICU / Critical Care - $2,308 to $2,544 per week in Woodland Hills, CA
TravelNurseSourceWOODLAND HILLS, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Florida Licensed Preservice Review Nurse
VirtualVocationsNorwalk, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Nurse Reviewer
VirtualVocationsBurbank, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN / LVN Regional Clinical Liaison - Los Angeles, CA
Skilled Wound CareLos Angeles, CA, USserp_jobs.job_card.full_time