Tennessee Licensed Senior Medical Reviewer
VirtualVocationsLafayette, Louisiana, 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 Registered Nurse Senior Medical Reviewer (Medicare Part B).
Key Responsibilities
Lead and provide guidance to staff in specialty programs, medical review, and utilization management
Monitor workflow and assist in managing workloads and quality reviews
Ensure compliance with quality plans and participate in special projects as needed
Required Qualifications, Training, and Education
Active, unrestricted RN licensure in the United States or a compact multistate license
Associate Degree in Nursing or graduation from an accredited school of nursing
Four years of clinical experience or a combination of clinical and medical review experience totaling four years
Working knowledge of managed care and healthcare delivery systems
Proficiency in Microsoft Office software
serp_jobs.job_alerts.create_a_job
Medical Reviewer • Lafayette, Louisiana, United States
Job_description.internal_linking.related_jobs A company is looking for a Medical Review Contractor to serve as a liaison to cross-functional teams and incorporate current medical information into departmental resources.Key Responsibilities P...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
TravelNurseSource is working with LRS Healthcare to find a qualified Med / Surg RN in Lafayette, Louisiana, 70503!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 
Gifted Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in New Iberia, Louisiana.Job Description & Requirements.
Must live 50+ miles from the facility.Minimum 1 year of ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Appeals Coordinator.Key Responsibilities Act as the liaison for statewide appeals, ensuring compliance with State and NCQA requirements Review clinical inform...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 TravelNurseSource is working with LRS Healthcare to find a qualified Med / Surg RN in Lafayette, Louisiana, 70503!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Medical Bill Reviewer-100% remote (EST or CST time zone).Key Responsibilities Identify provider participation status when automated processes fail Apply PPO guidelines...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 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 Medical Coding Reviewer I.Key Responsibilities Perform clinical / coding medical claim review to ensure compliance with coding practices Analyze provider billing practic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Case Manager RN.Key Responsibilities Assess member health status and coordinate care needs, including inpatient review and discharge planning Develop and implement tre...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for an Appeals and Letters Coordinator remote position.Key Responsibilities : Process denial-related and member-oriented written communications in compliance with Federal and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 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 A company is looking for a Senior Medical Director to oversee medical review strategies and collaborate with stakeholders.
Key Responsibilities Oversee the development and implementation of Medica...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day TravelNurseSource is working with CrossMed Healthcare to find a qualified Med / Surg RN in Lafayette, Louisiana, 70503!.At CrossMed Healthcare Staffing, we aim to create lasting impressions wherever ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days TravelNurseSource is working with Gifted Healthcare to find a qualified Med / Surg RN in Lafayette, Louisiana, 70501!.The Gifted Healthcare Experience .
Gifted Healthcare is an award-winning travel nu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Fertility Utilization Management RN - Remote.Key Responsibilities Determine the appropriateness of inpatient and outpatient services based on medical guidelines and ben...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 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_variable_days 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
- serp_jobs.job_card.promoted
Medical Review Contractor
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Medical-Surgical - $1,652 to $1,832 per week in Lafayette, LA
TravelNurseSourceLafayette, LA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Reviewer III
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Med Surg
Gifted HealthcareNew Iberia, LA, USserp_jobs.job_card.temporary
- serp_jobs.job_card.promoted
Texas Licensed Clinical Appeals Coordinator
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
TX and GA Licensed Clinical Manager
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Medical-Surgical - $1,713 to $1,899 per week in Lafayette, LA
TravelNurseSourceLafayette, LA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Bill Reviewer
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Reviewer
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
HEDIS Reviewer
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Remote Medical Coding Reviewer
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed RN Case Manager
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tennessee Licensed Appeals Coordinator
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tennessee and Missouri RN Clinical Review Coordinator
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
South Carolina Licensed Senior Medical Director
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Medical-Surgical - $1,785 per week in Lafayette, LA
TravelNurseSourceLafayette, LA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Medical-Surgical - $2,046 per week in Lafayette, LA
TravelNurseSourceLafayette, LA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Utilization Management RN
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Case Manager RN
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
CDI Specialist 2nd Level Reviewer
VirtualVocationsLafayette, Louisiana, United Statesserp_jobs.job_card.full_time