Virginia Licensed Lead Clinical Reviewer
VirtualVocationsRedding, California, United Statesjob_description.job_card.1_day_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 to join their team.
Key Responsibilities
Review medical records against criteria to determine medical appropriateness
Guide team members and support training and documentation efforts
Conduct quality monitoring and audits, identifying areas for improvement
Required Qualifications
Active and unrestricted license as a Mental Health Professional in Virginia
Master's degree from an accredited college in a relevant program
2+ years of experience in Prior Authorization, Utilization Review, or Utilization Management
serp_jobs.job_alerts.create_a_job
Clinical Lead • Redding, California, United States
Job_description.internal_linking.related_jobs 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 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_30 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 A company is looking for a Manager, Vendor Clinical Policy to join their Clinical Policy team.Key Responsibilities Clinically evaluate vendor policy sets for compliance with medical standards and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Supervisor - LCSW - Remote.Key Responsibilities Provide clinical supervision to a minimum of six resident clinicians, including weekly group and individual sup...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Become a Valued Member of Your Anesthesia Team.As a CRNA, you play a critical role in our mission to improve lives in Anesthesiology and are a valued member of the full care team.At Vituity we know...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Utilization Review Coordinator, Lead.Key Responsibilities Serve as a liaison among physician, nursing staff, and ancillary departments to facilitate patient processing ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a HEDIS Reviewer.Key Responsibilities Audit information entered into the software system for abstraction, overreading, and data entry Maintain project productivity level...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a RN UM Care Review Clinician, Inpatient based in MA.Key Responsibilities Assess services for members to ensure optimum outcomes and compliance with regulations Analyze ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less A company is looking for a Clinical Quality Associate (Remote).Key Responsibilities Manage the clinical support inbox and respond to inquiries from internal teams, providers, and patients Interp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Medical Reviewer.Key Responsibilities Lead statistical programming activities for clinical safety data sets Oversee the creation and validation of SDTM, ADaM, and TLFs...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Medpro Healthcare Staffing is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Red Bluff, CA.
Shift : 3x12 hr nights Start Date : 11 / 04 / 2025 Duration : ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Clinical Documentation Improvement Specialist 2nd Level Reviewer (Remote).Key Responsibilities Conduct detailed reviews of medical records and physician documentation f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 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 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_1_day A company is looking for a VP of Clinical Operations to provide leadership and oversight for Clinical Services and Casualty departments.
Key Responsibilities Oversee all Clinical Services function...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a RN Clinical Navigator to support doctors and patients in a remote healthcare setting.Key Responsibilities Manage communications and documentation between patients and d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Manager, Clinical Navigation.Key Responsibilities Lead and develop a team of Clinical Navigators to enhance patient engagement and outcomes Oversee daily operations of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
Florida Licensed Preservice Review Nurse
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Reviewer III
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Texas Licensed Clinical Abstract RN
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Georgia Licensed Clinical Policy Manager
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Delaware Licensed Clinical Supervisor
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Independent Contractor - Clinical AP - Anesthesiology - St. Elizabeth Community Hospital
VituityRed Bluff, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Missouri Licensed Utilization Review Lead
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
HEDIS Reviewer
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Massachusetts Licensed RN Care Reviewer
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Licensed Clinical Quality Associate
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Reviewer
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - ICU - Intensive Care Unit - $2686 / Week
Medpro Healthcare StaffingRed Bluff, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
CDI Specialist 2nd Level Reviewer
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Clinical Appeals RN
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tennessee Licensed Senior Medical Reviewer
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
NC Licensed VP of Clinical Operations
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Clinical Navigator
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
TX and GA Licensed Clinical Manager
VirtualVocationsRedding, California, United Statesserp_jobs.job_card.full_time