Talent.com
State Licensed Clinical Audit Lead
State Licensed Clinical Audit LeadVirtualVocations • Jackson Heights, New York, United States
State Licensed Clinical Audit Lead

State Licensed Clinical Audit Lead

VirtualVocations • Jackson Heights, New York, United States
job_description.job_card.variable_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 Audit Lead.

Key Responsibilities

Supervises teams to ensure compliance with laws, regulations, and organizational policies

Implements measures to mitigate risks to program integrity and assesses nursing processes for efficiency

Maintains documentation of nursing program activities and produces regular reports on compliance and quality metrics

Required Qualifications

Minimum Bachelor's Degree

Current, active, and non-restricted RN licensure required

Coding certification preferred

Minimum of 5-7 years of relevant experience; 8-11 years preferred

Healthcare experience with utilization reviews and knowledge of Medicare / Medicaid regulations preferred

serp_jobs.job_alerts.create_a_job

Clinical Lead • Jackson Heights, New York, United States

Job_description.internal_linking.related_jobs
State Licensed Clinical Analyst

State Licensed Clinical Analyst

VirtualVocations • New York, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Clinical Analyst to combine clinical data expertise with relationship management to ensure accurate claims processing and optimize carrier performance.Key Responsi...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Internal Medicine

Internal Medicine

The Inline Group • Belmar, New Jersey, US
serp_jobs.job_card.full_time
Internal Medicine physician employment in New Jersey : The Inline Group -.Hours : Monday - Friday 9 am - 5 pm.Average Patients seen : 40-50 injections per day. Compensation : - First year salary of $...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
State Licensed Associate Medical Director

State Licensed Associate Medical Director

VirtualVocations • Paterson, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for an Associate Medical Director - PRN (Remote U.Key Responsibilities Oversee clinical decision-making aspects of the Utilization Management program Collaborate with Region...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Associate Director, Access & Reimbursement (ADAR) - NPS - MS - Kentucky / Indiana - Remote

Associate Director, Access & Reimbursement (ADAR) - NPS - MS - Kentucky / Indiana - Remote

Novartis Group Companies • East Hanover, NJ, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
The Associate Director, Access & Reimbursement, NPS (Novartis Patient Support) Cardiovascular, Las Vegas, NV is a remote & field-based role that covers the following, but not limited to : Louisville...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Clinical Content Manager

State Licensed Clinical Content Manager

VirtualVocations • Jamaica, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Content Manager to lead the strategy and development of clinical content across various formats. Key Responsibilities Create high-quality clinical content for m...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Georgia Licensed Clinical Policy Manager

Georgia Licensed Clinical Policy Manager

VirtualVocations • Jackson Heights, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Manager, Clinical Policy to join their Clinical Policy team.Key Responsibilities Evaluate vendor policy sets for compliance with internal and external medical standards...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Medical Director

State Licensed Medical Director

VirtualVocations • Astoria, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Director / Physician Reviewer.Key Responsibilities Review hospital medical records for DRG Clinical Validation and other review activities Develop and update cli...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
State Licensed Transitions of Care Associate

State Licensed Transitions of Care Associate

VirtualVocations • Flushing, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Transitions of Care Associate to support members transitioning from hospital care.Key Responsibilities Check in with patients post-discharge to ensure they have the nec...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Clinical Supervisor

State Licensed Clinical Supervisor

VirtualVocations • New York, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Supervisor - PAC - UM EOS.Key Responsibilities Supervise and provide leadership to the Post-Acute Care team, ensuring timely completion of tasks Act as the le...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Senior Internal Auditor

Senior Internal Auditor

Vaco by Highspring • White Plains, CT, US
serp_jobs.job_card.permanent
Join a newly formed team supporting both treaty operations and a recently launched function at a leading global reinsurer. This role is focused on financial oversight of reinsurance contracts, ensur...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
State Licensed Psychiatric Nurse Director

State Licensed Psychiatric Nurse Director

VirtualVocations • Paterson, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for a Director, Advanced Practice Nursing.Key Responsibilities Establish and maintain clinical practice standards and policies for safe client care Oversee compliance with a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Arizona Licensed Thoracic Imaging Director

Arizona Licensed Thoracic Imaging Director

VirtualVocations • Elizabeth, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for a Remote Division Director of Thoracic Imaging.Key Responsibilities Provide leadership and coordination for thoracic imaging services across all sites Ensure high-qualit...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Clinical Audit Lead

State Licensed Clinical Audit Lead

VirtualVocations • Elizabeth, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Audit Lead.Key Responsibilities Supervises teams to ensure compliance with laws, regulations, and organizational policies Implements measures to mitigate risk...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Wisconsin Licensed Auditor

Wisconsin Licensed Auditor

VirtualVocations • New York, New York, United States
serp_jobs.job_card.full_time
A company is looking for an Auditor.Key Responsibilities Perform quality assurance reviews / audits on client accounts with appropriate feedback Promote consistency and accuracy in coding and docu...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Arizona Licensed VP of Clinical Operations

Arizona Licensed VP of Clinical Operations

VirtualVocations • Jackson Heights, New York, United States
serp_jobs.job_card.full_time
A company is looking for a VP of Clinical Operations.Key Responsibilities Provide leadership and oversight to clinical teams to achieve performance metrics Implement standards and processes to i...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
California Licensed Clinical Supervisor

California Licensed Clinical Supervisor

VirtualVocations • Newark, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Supervisor (Licensed Clinical Psychologist).Key Responsibilities Provide clinical supervision and guidance to Associate Psychotherapists Oversee client case m...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinical Territory Associate- Future Opportunity

Clinical Territory Associate- Future Opportunity

Intuitive Surgical • Morristown, NJ, US
serp_jobs.job_card.full_time
At Intuitive, we are united behind our mission : we believe that minimally invasive care is life-enhancing care.Through ingenuity and intelligent technology, we expand the potential of physicians to...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Texas Licensed Clinical Policy Manager

Texas Licensed Clinical Policy Manager

VirtualVocations • Bronx, New York, United States
serp_jobs.job_card.full_time
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
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Florida Licensed Clinical Specialist

Florida Licensed Clinical Specialist

VirtualVocations • Paterson, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Specialist to join their remote team.Key Responsibilities Utilize motivational interviewing techniques to engage patients in services Complete necessary docum...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Patient Care Director

State Licensed Patient Care Director

VirtualVocations • Newark, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for a Director, Patient Care to lead and evolve their Care Navigation and Clinical teams.Key Responsibilities Lead and develop a high-performing Patient Care organization Es...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted