Talent.com
North Carolina Licensed Clinical Evaluator

North Carolina Licensed Clinical Evaluator

VirtualVocationsNashville, Tennessee, 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 Healthcare Clinical Evaluator SME, MD Required.

Key Responsibilities

Review prior authorizations (PAs) under the EPSDT program and adjudicate PDN and DME prior approval requests

Collaborate with the Medical Director, Physical Therapy, Nurses, and other staff to complete PA requests

Manage incoming PAs and ensure compliance with service level agreements

Required Qualifications

Education : MD / DO

Experience : 15+ years of related experience

Technical skills : Proficiency in Microsoft products and Adobe PDF

serp_jobs.job_alerts.create_a_job

Clinical Evaluator • Nashville, Tennessee, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Florida Licensed Clinical Therapist

Florida Licensed Clinical Therapist

VirtualVocationsMurfreesboro, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Licensed Clinical Therapist (LCSW / LMHC / LMFT) for Adult Intensive Outpatient Virtual Group. Key Responsibilities Provide virtual IOP remote group coverage via video confe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
State Licensed Senior Director of Clinical Excellence

State Licensed Senior Director of Clinical Excellence

VirtualVocationsNashville, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Director, Clinical Excellence (Post Acute, VBC).Key Responsibilities Oversee the delivery of the Post Acute Care Program ensuring seamless patient transitions an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinical Auditor with RN License

Clinical Auditor with RN License

VirtualVocationsNashville, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Auditor 2.Key Responsibilities Performs audits of medical records for denials review, defense audits, disallowed charges, and utilization reviews Completes an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Science Liaison, Ophthalmology (Mid-Atlantic)

Medical Science Liaison, Ophthalmology (Mid-Atlantic)

Apellis Pharmaceuticals, Inc.Nashville, TN, United States
serp_jobs.job_card.full_time
The Apellis MSL is a remote role focused on developing and maintaining peer-to-peer relationships with key medical experts. This role will primarily support the Apellis ophthalmology program.The MSL...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Texas Licensed Clinical Genetics Reviewer

Texas Licensed Clinical Genetics Reviewer

VirtualVocationsNashville, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for Board Certified Physician Reviewers in Clinical Genetics with a Texas license.Key Responsibilities Evaluate medical records and provide clinical summaries Engage in peer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
D.C. Licensed Ophthalmology Reviewer

D.C. Licensed Ophthalmology Reviewer

VirtualVocationsMurfreesboro, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for Board Certified Physician Reviewers in Ophthalmology with a D.Key Responsibilities Evaluate medical records and provide clinical summaries Engage in peer communications ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Product Analyst, Clinical Applications

Product Analyst, Clinical Applications

ArchWell HealthNashville, TN, United States
serp_jobs.job_card.full_time
Clinical Applications Product Analyst.The Clinical Applications Product Analyst will act as a key contributor to the configuration and buildout of Clinical Application products including the eClini...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Clinical Therapist

California Licensed Clinical Therapist

VirtualVocationsNashville, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Licensed Clinical Therapist (LCSW / LPCC / LMFT) for a remote Adult Intensive Outpatient Program. Key Responsibilities Provide virtual IOP remote group therapy via video con...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Virginia Licensed Medical Oncologist

Virginia Licensed Medical Oncologist

VirtualVocationsNashville, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for Board Certified Physician Reviewers in Medical Oncology with a Virginia License.Key Responsibilities Evaluate medical records and provide clinical summaries Engage in pe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Washington Licensed Endocrinology Reviewer

Washington Licensed Endocrinology Reviewer

VirtualVocationsNashville, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for Board Certified Physician Reviewers in Endocrinology with a Washington license.Key Responsibilities Evaluate medical records and provide clinical summaries Engage in pee...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Texas Licensed Clinical Navigator

Texas Licensed Clinical Navigator

VirtualVocationsNashville, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a PT Clinical Navigator.Key Responsibilities Conduct clinical intake assessments and gather information to evaluate patients' conditions and treatment needs Build trust-...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Vermont Licensed Medical Oncologist Reviewer

Vermont Licensed Medical Oncologist Reviewer

VirtualVocationsMurfreesboro, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for Board Certified Physician Reviewers specializing in Medical Oncology with a Vermont license.Key Responsibilities Evaluate medical records and provide clinical summaries ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
State Licensed Clinical Quality Manager

State Licensed Clinical Quality Manager

VirtualVocationsMurfreesboro, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Quality Manager - Population Health.Key Responsibilities Leads system-wide population health projects and initiatives, developing implementation plans and oper...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Pennsylvania Licensed Clinical Analyst

Pennsylvania Licensed Clinical Analyst

VirtualVocationsNashville, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Clinical Revenue Applications & Support Analyst.Key Responsibilities Assists in determining technical solutions for business issues and integrates them with exis...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Clinical Director (LCSW or LPC)

Clinical Director (LCSW or LPC)

Southeast Addiction Center Nashville LLCNashville, TN, US
serp_jobs.job_card.full_time
The Clinical Director is responsible for providing 24-hour management of all clinical functions of the facility.Oversees the entire admission process and / or clinical intake process.Also responsible...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Clinical Evaluation Report Writer

Clinical Evaluation Report Writer

VirtualVocationsMurfreesboro, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a CER Technical Writer.Key Responsibilities Write Clinical Evaluation Plans and ensure compliant creation of Clinical Evaluation Reports, Plans, and SSCP reports Link CE...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinical Director, State Licensed

Clinical Director, State Licensed

VirtualVocationsMurfreesboro, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Director, Clinical Impact & Innovation.Key Responsibilities Lead strategies to achieve business and clinical KPIs, focusing on quality outcomes and in-home screening ef...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Wisconsin Licensed Reimbursement Auditor

Wisconsin Licensed Reimbursement Auditor

VirtualVocationsNashville, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Reimbursement Auditing Specialist (Remote in Wisconsin).Key Responsibilities Assist in coding for various healthcare services including clinic, inpatient, and outpatien...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
RN Licensed Clinical Quality Manager

RN Licensed Clinical Quality Manager

VirtualVocationsMurfreesboro, Tennessee, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Quality Manager for Population Health focused on the Medicare Shared Savings Program (MSSP). Key Responsibilities Leads system-wide population health projects a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinical Territory Associate

Clinical Territory Associate

IntuitiveNashville, TN, 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_moreserp_jobs.last_updated.last_updated_variable_days