Talent.com
Licensed Utilization Review Clinician
Licensed Utilization Review ClinicianVirtualVocations • Cedar Rapids, Iowa, United States
Licensed Utilization Review Clinician

Licensed Utilization Review Clinician

VirtualVocations • Cedar Rapids, Iowa, 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 Utilization Review Clinician - ABA.

Key Responsibilities

Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services

Performs prior authorization reviews to determine medical appropriateness in accordance with ABA guidelines

Analyzes behavioral health member data to enhance service quality and utilization

Required Qualifications, Training, and Education

Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience

License to practice independently or state-required licensure (BCBA) is required

Master's degree for behavioral health clinicians is preferred

Behavioral health clinical knowledge and ability to assess ABA Treatment Plans are required

Experience working with healthcare teams on ABA services is preferred

serp_jobs.job_alerts.create_a_job

Utilization Review • Cedar Rapids, Iowa, United States

Job_description.internal_linking.related_jobs
Ohio Licensed Utilization Nurse Consultant

Ohio Licensed Utilization Nurse Consultant

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Nurse Consultant.Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services / benefits for members Gather...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Sr Medical Director - Utilization Management (Remote eligible w / some travel)

Sr Medical Director - Utilization Management (Remote eligible w / some travel)

Wellmark, Inc. • Cedar Rapids, IA, US
serp_jobs.filters.remote
serp_jobs.job_card.permanent
We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profi...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Utilization Review Clinical Liaison

Utilization Review Clinical Liaison

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Clinical Liaison.Key Responsibilities Serve as the primary point of contact for 1st level utilization review (UR) cases Coordinate 2nd level escalat...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Senior Clinical Appeals RN

State Licensed Senior Clinical Appeals RN

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Clinical Appeals RN.Key Responsibilities Analyze and respond to DRG appeals, including complex conceptual analyses Review medical records and collaborate with a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Utilization Management Technician

Utilization Management Technician

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Technician.Key Responsibilities Coordinate, generate, and track correspondence, faxes, and authorizations related to utilization management Inte...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Telehealth Clinician

Licensed Telehealth Clinician

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for Telehealth Clinicians (MD, NP, PA, DO).Key Responsibilities Provide comprehensive telehealth consultations to patients across assigned states Conduct thorough assessment...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
North Carolina Licensed Intake Clinician

North Carolina Licensed Intake Clinician

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for an Intake Clinician to join their team remotely in Asheville, NC.Key Responsibilities Conduct screenings and level of care assessments utilizing clinical expertise Facil...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Behavioral Health Utilization Review RN

Behavioral Health Utilization Review RN

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for a Behavioral Health Utilization Review RN for a full-time remote position.Key Responsibilities Review and evaluate electronic medical records for emergency admissions and...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Nurse RN - Long Term Care

Travel Nurse RN - Long Term Care

Genie Healthcare • Solon, IA, US
serp_jobs.job_card.full_time
Genie Healthcare is seeking a travel nurse RN Long Term Care for a travel nursing job in Solon, Iowa.Job Description & Requirements. Need - Will Consider LPN or RN ASAP Need Shift : 12 hour...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Texas Licensed Clinical Nurse Director

Texas Licensed Clinical Nurse Director

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for a Director of Utilization Management.Key Responsibilities Develop and implement strategic plans for Utilization Management aligned with organizational goals Direct all U...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Arizona Licensed Care Review Clinician

Arizona Licensed Care Review Clinician

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for a Care Review Clinician (RN).Key Responsibilities Assess services for members to ensure optimum outcomes and compliance with regulations Analyze clinical service request...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Kentucky Licensed Revenue Auditor

Kentucky Licensed Revenue Auditor

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for a Revenue Audit Coder, Revenue Integrity / Coding Administration, Days, Fully Remote.Key Responsibilities Accurately code and abstract clinic, emergency department, same da...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Licensed Behavioral Health Clinician

Licensed Behavioral Health Clinician

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluates member's treatment for mental health and substance abuse to ensure medical appropriatene...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Florida Licensed Intake Specialist

Florida Licensed Intake Specialist

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for a Remote Intake Specialist.Key Responsibilities Manage incoming referrals and ensure all required documents and orders are complete Process new patient intakes and condu...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Minnesota Licensed Clinical Documentation Specialist

Minnesota Licensed Clinical Documentation Specialist

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.part_time
A company is looking for a Clinical Documentation Improvement Specialist - Part-Time (32 hours per week).Key Responsibilities Conduct thorough patient chart reviews to identify documentation gaps...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Washington RN Care Review Clinician

Washington RN Care Review Clinician

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for a RN Care Review Clinician Critical Care to provide support for clinical member services review assessment processes. Key Responsibilities Assesses services for members to...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
New Jersey Licensed Inpatient Auditor

New Jersey Licensed Inpatient Auditor

VirtualVocations • Cedar Rapids, Iowa, United States
serp_jobs.job_card.full_time
A company is looking for an Inpatient Hospital Auditor II.Key Responsibilities : Conducts audits of hospital billing and coding practices and identifies billing discrepancies Compiles audit stati...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
North Carolina Licensed Case Manager, RN

North Carolina Licensed Case Manager, RN

VirtualVocations • Cedar Rapids, Iowa, 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_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted