RN Clinical Review ManagerVirtualVocations • Beaumont, Texas, United States
RN Clinical Review Manager
VirtualVocations • Beaumont, 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 Manager of Clinical Review to oversee clinical operations and ensure high-quality patient care.
Key Responsibilities
Monitor quality of care and compliance with policies and regulations
Coordinate with healthcare professionals to ensure seamless care delivery
Provide training and support to clinical staff to enhance their skills and performance
Required Qualifications
Active unrestricted RN license required
Minimum three years of clinical management experience required
Strong knowledge of regulatory standards and healthcare laws
Bachelor's degree in nursing or healthcare administration preferred
serp_jobs.job_alerts.create_a_job
Rn Clinical Manager • Beaumont, Texas, United States
Job_description.internal_linking.related_jobs A company is looking for a Clinical Quality Auditor, RN - Remote.Key Responsibilities : Review and audit contracted sub-delegates Assist with report preparation and records regarding work functio...serp_jobs.internal_linking.show_more A company is looking for an RN Utilization Management Reviewer.Key Responsibilities : Conduct pre-certification, concurrent, and retrospective reviews focusing on utilization management and care c...serp_jobs.internal_linking.show_more A company is looking for a Field RN Case Manager.Key Responsibilities Manage care for patients in a remote setting, ensuring effective communication and coordination Conduct discharge planning a...serp_jobs.internal_linking.show_more A company is looking for a Clinical Reviewer of Behavioral Health.Key Responsibilities Review medical records to determine medical appropriateness based on contract requirements Monitor and adju...serp_jobs.internal_linking.show_more A company is looking for a Senior Clinical IS Project Manager (Remote).Key Responsibilities Plan, execute, and finalize multiple small to large-scale projects within budget and deadlines Define ...serp_jobs.internal_linking.show_more A company is looking for a Senior Clinical Administrative Coordinator RN - Remote in MST.Key Responsibilities Manage the initial patient intake process, ensuring timely verification, assessment, ...serp_jobs.internal_linking.show_more A company is looking for an Associate, Senior Associate, Manager - Clinical Trial Imaging Operations.serp_jobs.internal_linking.show_more A company is looking for a Field RN Case Manager.Key Responsibilities Manage and coordinate care for patients, ensuring adherence to care plans Conduct health-related assessments and facilitate ...serp_jobs.internal_linking.show_more A company is looking for an Outcomes Specialist.Key Responsibilities Identify and implement operational performance improvement projects aligned with organizational goals Collaborate with variou...serp_jobs.internal_linking.show_more A company is looking for a Clinical Program Coordinator RN, Medicare / Medicaid who will provide care coordination and case management services to members.
Key Responsibilities Provide care coordi...serp_jobs.internal_linking.show_more A company is looking for a Senior Clinical Product Manager, Behavioral Science.Key Responsibilities Serve as a core member of product development squads, accountable for clinical direction and ou...serp_jobs.internal_linking.show_more A company is looking for an RN Manager to lead and manage a team of nurses in a remote clinical environment.Key Responsibilities Oversee day-to-day clinical operations and ensure delivery of safe...serp_jobs.internal_linking.show_more A company is looking for an RN Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to determine overall health and appropriate level of care for members Re...serp_jobs.internal_linking.show_more A company is looking for a Senior Clinical Trial Manager to lead the operational delivery of cell therapy clinical trials.
Key Responsibilities Lead and manage the operational execution of assigne...serp_jobs.internal_linking.show_more A company is looking for an RN Quality Assurance Manager.Key Responsibilities Lead the development and execution of the clinical quality assurance program, including chart audits and provider fee...serp_jobs.internal_linking.show_more A company is looking for a Clinical Review Nurse - Prior Authorization.Key Responsibilities Review both prior authorization (PA) and inpatient (IP) requests Complete up to 20 authorization revie...serp_jobs.internal_linking.show_more A company is looking for a DRG Reviewer to join their remote Payment Integrity team.Key Responsibilities Analyze and review inpatient claims for adherence to Official Coding and Reporting Guideli...serp_jobs.internal_linking.show_more A company is looking for a Manager, Clinical Policy to join their Clinical Policy team.Key Responsibilities Clinically evaluate vendor policy sets to ensure compliance with internal and external ...serp_jobs.internal_linking.show_more
RN Clinical Quality Auditor
VirtualVocations • Beaumont, Texas, 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
Massachusetts Licensed RN Reviewer
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Illinois Licensed RN Case Manager
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Licensed Clinical Reviewer
VirtualVocations • Beaumont, Texas, 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
Senior Clinical Project Manager
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN Clinical Coordinator
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinical Trial Imaging Manager
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
New York Licensed RN Case Manager
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
RN Outcomes Specialist
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Oregon Licensed Clinical Program Coordinator RN
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Senior Clinical Product Manager
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
RN Manager - CA, CO, HI, IL, MA, MD, NJ, NM, NY, OR, WA
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
New York RN Clinical Review Nurse
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Senior Clinical Trial Manager
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Kentucky Licensed RN QA Manager
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Oregon Licensed Clinical Review Nurse
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Certified DRG Reviewer
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Texas Licensed Clinical Policy Manager
VirtualVocations • Beaumont, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted