Florida Licensed Clinical Review Nurse

VirtualVocationsSan Buenaventura, California, United States

job_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

Performs concurrent reviews to determine members' overall health and appropriate level of care

Reviews quality and continuity of care, including acuity level, resource consumption, and discharge planning

Collaborates with healthcare providers and assists with education on utilization processes

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 of acute care experience required

Clinical knowledge to determine overall health and treatment needs preferred

Knowledge of Medicare and Medicaid regulations preferred

LPN or RN - FL State Licensure required

serp_jobs.job_alerts.create_a_job

Clinical Review Nurse • San Buenaventura, California, United States

Job_description.internal_linking.related_jobs

serp_jobs.job_card.promoted

Texas Licensed Case Manager RN

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

A company is looking for a Registered Nurse II - Case Manager.Key Responsibilities Manage continuity of care for beneficiaries through comprehensive assessments and care planning Coordinate foll...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Pennsylvania Licensed Telehealth Nurse Practitioner

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

A company is looking for a Telehealth Nurse Practitioner for a virtual women's health clinic.Key Responsibilities Provide direct patient care during virtual clinic visits Conduct timely follow-u...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

North Carolina Licensed Case Manager

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

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_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Tennessee and Missouri RN Clinical Review Coordinator

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

A company is looking for a LOS Clinical Review Coordinator for TN and MO.Key Responsibilities Request and review member's clinical information from providers Perform utilization review of inpati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

New York Licensed Clinical Appeals Specialist

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Denials & Appeals Specialist (Remote).Key Responsibilities Review and respond to Corporate Compliance Audits and denial trends Prepare and defend level of car...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted
serp_jobs.job_card.new

NC Licensed NICU Review Nurse

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for a NICU - Clinical Review Nurse - Concurrent Review.Key Responsibilities Perform concurrent reviews to assess member health and care appropriateness Evaluate quality and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

California Licensed Concurrent Review Nurse

VirtualVocationsSan Buenaventura, California, 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

Texas Licensed Clinical Abstract RN

VirtualVocationsOxnard, California, 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_1_day

serp_jobs.job_card.promoted

State Licensed Nurse Reviewer

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for a Nurse Reviewer.Key Responsibilities Conduct initial assessments of documentation from both initiating and responding parties Review submitted documentation to identify...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Wisconsin Licensed Nurse Auditor

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for a Nurse Auditor - Revenue Integrity (Remote in Wisconsin).Key Responsibilities Review medical records to ensure proper coding for assigned specialties Provide guidance t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Florida Licensed Quality Review Nurse

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for a Quality Review Nurse RN PRN Home Care.Key Responsibilities Evaluate visits per episode for optimal utilization and clinical outcomes Analyze utilization to ensure alig...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Oregon Licensed Clinical Peer Review RN

VirtualVocationsSan Buenaventura, California, 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_variable_hours

serp_jobs.job_card.promoted

California Licensed Telehealth Nurse Manager

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

A company is looking for a Telehealth Nurse Practitioner Manager to lead and support a team of remote Family Nurse Practitioners providing virtual consultations. Key Responsibilities Lead, mentor,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Florida Licensed Telehealth Nurse Practitioner

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for a Telehealth Nurse Practitioner for a virtual women's health clinic.Key Responsibilities Provide direct patient care during virtual clinic visits and ensure timely follow...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Multistate Licensed Clinical Triage Nurse

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Triage Nurse, RN W Th F 8p to 8a.Key Responsibilities Assess patient symptoms and provide appropriate medical advice during inbound sick calls Review clinical...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Florida Licensed Nursing Faculty

VirtualVocationsOxnard, California, United States

serp_jobs.job_card.full_time

A company is looking for an Online Nursing Assistant Faculty.Key Responsibilities Educate and mentor nursing students in both clinical and online environments Arrange clinical sites for MSN stud...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Tennessee Licensed Senior Medical Reviewer

VirtualVocationsSan Buenaventura, California, United States

serp_jobs.job_card.full_time

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_variable_hours

serp_jobs.job_card.promoted

Florida Licensed Preservice Review Nurse

VirtualVocationsOxnard, California, 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