Talent.com
Texas Licensed Clinical Reviewer
Texas Licensed Clinical ReviewerVirtualVocations • New Orleans, Louisiana, United States
No longer accepting applications
Texas Licensed Clinical Reviewer

Texas Licensed Clinical Reviewer

VirtualVocations • New Orleans, Louisiana, United States
6 days ago
Job type
  • Part-time
Job description

A company is looking for a QHCP Clinical Reviewer (NP, PA, or CNM) - Fractional / Part-Time in Texas.

Key Responsibilities

Monitor patient data trends to identify high-risk cases requiring intervention

Perform clinical assessments and provide direct patient education on maternal health concerns

Document all clinical interactions in the care management platform, ensuring accuracy and compliance

Qualifications

Active, unrestricted NP, PA, or CNM license in the state of Texas

Minimum of 3-5 years of clinical experience in OB / GYN, women's health, or maternal-fetal medicine

Prior experience with remote patient monitoring or telehealth preferred

Strong ability to synthesize data and communicate concise clinical insights

Bilingual (Spanish) strongly preferred

Create a job alert for this search

Clinical Reviewer • New Orleans, Louisiana, United States

Related jobs
HSS Clinical Coordinator RN - New Orleans or Metairie, LA Markets

HSS Clinical Coordinator RN - New Orleans or Metairie, LA Markets

UnitedHealthcare • New Orleans, LA, US
Full-time
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of peo...Show more
Last updated: less than 1 hour ago • Promoted • New!
Arizona Licensed Clinical Supervisor

Arizona Licensed Clinical Supervisor

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Supervisor, Clinical Data Acquisition (Remote).Key Responsibilities Supervises staff involved in HEDIS performance measurement and quality reporting Implements and ove...Show more
Last updated: 2 days ago • Promoted
State Licensed RN Medical Reviewer

State Licensed RN Medical Reviewer

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Remote RN - Medical Claims Reviewer.Key Responsibilities Review medically complex claims, pre-authorization requests, appeals, and fraud / abuse referrals Assess payment...Show more
Last updated: 9 hours ago • Promoted • New!
RN Clinical Review Clinician

RN Clinical Review Clinician

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Clinical Review Clinician - Appeals.Key Responsibilities Performs clinical reviews to resolve and process appeals by analyzing medical records and clinical data Ensure...Show more
Last updated: 30+ days ago • Promoted
Georgia Licensed Clinical Manager

Georgia Licensed Clinical Manager

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Senior Manager, Clinical to join their Case Management team.Key Responsibilities Review and maintain policies and procedures to meet regulatory and organizational requi...Show more
Last updated: 6 days ago • Promoted
Texas Licensed Clinical Auditor

Texas Licensed Clinical Auditor

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Clinical Review Auditor.Key Responsibilities Review medical records to determine accuracy of billing through verification of coding and supporting documentation Conduc...Show more
Last updated: 5 days ago • Promoted
Licensed Utilization Review Clinician

Licensed Utilization Review Clinician

VirtualVocations • New Orleans, Louisiana, United States
Full-time
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 to ensure medica...Show more
Last updated: 30+ days ago • Promoted
Wisconsin Licensed Clinical Appeals RN

Wisconsin Licensed Clinical Appeals RN

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Clinical Appeals RN - Remote.Key Responsibilities : Perform medical reviews on provider inquiries and member appeals Ensure compliance with Department of Labor and Stat...Show more
Last updated: 30+ days ago • Promoted
Texas Licensed Care Review Clinician

Texas Licensed Care Review Clinician

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Care Review Clinician (RN) for Prior Authorization.Key Responsibilities Assess services for members to ensure optimum outcomes and compliance with regulations Analyze ...Show more
Last updated: 4 days ago • Promoted
Texas Licensed Clinical Manager

Texas Licensed Clinical Manager

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Senior Manager, Clinical to join their Case Management team.Key Responsibilities Review and maintain policies and procedures to meet regulatory, accreditation, and orga...Show more
Last updated: 30+ days ago • Promoted
Texas Licensed Physician Reviewer

Texas Licensed Physician Reviewer

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for Board Certified Physician Reviewers in Internal Medicine / Allergy & Immunology with a Texas license. Key Responsibilities Review treatment requests and appeals for medical ...Show more
Last updated: 2 days ago • Promoted
Utah Licensed Care Review RN

Utah Licensed Care Review RN

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Care Review Clinician (RN).Key Responsibilities Assesses services for members to ensure optimum outcomes and compliance with regulations Analyzes clinical service requ...Show more
Last updated: 2 days ago • Promoted
Texas Licensed Concurrent Review RN

Texas Licensed Concurrent Review RN

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for an RN Concurrent Review.Key Responsibilities Monitor and document medical treatment telephonically, ensuring compliance with established guidelines Track patient progres...Show more
Last updated: 5 days ago • Promoted
Texas Licensed Professional Review Supervisor

Texas Licensed Professional Review Supervisor

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Professional Review Supervisor.Key Responsibilities Perform professional coding reviews of medical records and documentation Assist in processing claims based on state...Show more
Last updated: 5 days ago • Promoted
Multi-State Licensed Care Review Clinician

Multi-State Licensed Care Review Clinician

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Care Review Clinician (LVN / LPN).Key Responsibilities Assess services for members to ensure optimum outcomes and compliance with regulations Analyze clinical service ...Show more
Last updated: 5 days ago • Promoted
Arizona Licensed Clinical Director

Arizona Licensed Clinical Director

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Director, Clinical Performance Oversight.Key Responsibilities Lead and direct a team focused on clinical performance improvement activities Monitor and evaluate clinic...Show more
Last updated: 2 days ago • Promoted
Florida Licensed Clinical Therapist

Florida Licensed Clinical Therapist

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Licensed Clinical Therapist (LCSW / LMHC / LMFT) for an Adult Intensive Outpatient Virtual Group. Key Responsibilities Provide virtual IOP remote group coverage via video co...Show more
Last updated: 30+ days ago • Promoted
California Licensed Clinical Therapist

California Licensed Clinical Therapist

VirtualVocations • New Orleans, Louisiana, United States
Full-time
A company is looking for a Licensed Clinical Therapist for Telehealth services focused on adult intensive outpatient programs. Key Responsibilities Provide virtual IOP coverage via video conferenc...Show more
Last updated: 30+ days ago • Promoted