Talent.com
Arizona Licensed Care Review Clinician
Arizona Licensed Care Review ClinicianVirtualVocations • Rockville, Maryland, United States
No se aceptan más aplicaciones
Arizona Licensed Care Review Clinician

Arizona Licensed Care Review Clinician

VirtualVocations • Rockville, Maryland, United States
Hace 5 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

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 requests against evidence-based clinical guidelines

Conduct reviews for prior authorization and collaborate with multidisciplinary teams

Required Qualifications

At least 2 years of experience in hospital acute care or managed care

Active and unrestricted Registered Nurse (RN) license in the state of practice

Ability to prioritize and manage multiple deadlines

Proficiency in Microsoft Office suite or applicable software programs

Crear una alerta de empleo para esta búsqueda

Licensed Clinician • Rockville, Maryland, United States

Ofertas relacionadas
Arizona Licensed Clinical Review Nurse

Arizona Licensed Clinical Review Nurse

VirtualVocations • Washington, District of Columbia, United States
A tiempo completo
A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to determine overall health and appropriate level of care for members Review...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Florida Licensed Clinical Specialist

Florida Licensed Clinical Specialist

VirtualVocations • Alexandria, Virginia, United States
A tiempo completo
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...Mostrar más
Última actualización: hace 7 horas • Oferta promocionada • Nueva oferta
Missouri Licensed Care Manager

Missouri Licensed Care Manager

VirtualVocations • Alexandria, Virginia, United States
A tiempo completo
A company is looking for a Care Manager, LPN.Key Responsibilities Deliver telephonic care management and develop patient-centered care plans Support quality gap closure and coordinate patient vi...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Texas Licensed Clinical Policy Manager

Texas Licensed Clinical Policy Manager

VirtualVocations • Alexandria, Virginia, United States
A tiempo completo
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 ...Mostrar más
Última actualización: hace 15 días • Oferta promocionada
Compact State Licensed Triage Clinician

Compact State Licensed Triage Clinician

VirtualVocations • Rockville, Maryland, United States
A tiempo completo
A company is looking for a Triage Clinician 2 to provide remote telephone triage services to injured workers.Key Responsibilities Make safe decisions for appropriate care using critical thinking ...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Arizona Licensed Thoracic Imaging Director

Arizona Licensed Thoracic Imaging Director

VirtualVocations • Baltimore, Maryland, United States
A tiempo completo
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...Mostrar más
Última actualización: hace 17 horas • Oferta promocionada • Nueva oferta
Oregon Licensed Clinical Review Nurse

Oregon Licensed Clinical Review Nurse

VirtualVocations • Alexandria, Virginia, United States
A tiempo completo
A company is looking for a Clinical Review Nurse - Prior Authorization.Key Responsibilities Review both prior authorization (PA) and inpatient (IP) requests Complete up to 20 authorization revie...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Oregon Licensed Clinical Program Coordinator RN

Oregon Licensed Clinical Program Coordinator RN

VirtualVocations • Washington, District of Columbia, United States
A tiempo completo
A company is looking for a Clinical Program Coordinator RN, Medicare / Medicaid who will provide care coordination and case management services to members. Key Responsibilities Provide care coordi...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Georgia Licensed Clinical Documentation Specialist

Georgia Licensed Clinical Documentation Specialist

VirtualVocations • Alexandria, Virginia, United States
A tiempo completo
A company is looking for a Clinical Documentation Specialist, REMOTE.Key Responsibilities Ensure the accuracy and completeness of clinical documentation through extensive record reviews and inter...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
California Licensed Clinical Case Consultant

California Licensed Clinical Case Consultant

VirtualVocations • Alexandria, Virginia, United States
A tiempo completo
A company is looking for a Registered Nurse - Clinical Case Consultant (CalAIM ECM Program).Key Responsibilities Provide clinical oversight and guidance to care coordinators and case managers, en...Mostrar más
Última actualización: hace 2 días • Oferta promocionada
Kentucky Licensed Care Management Supervisor

Kentucky Licensed Care Management Supervisor

VirtualVocations • Washington, District of Columbia, United States
A tiempo completo
A company is looking for a Supervisor, Care Management (RN).Key Responsibilities Supervises the care management team and oversees care management delivery to ensure quality and compliance Assign...Mostrar más
Última actualización: hace 7 horas • Oferta promocionada • Nueva oferta
Washington Licensed Clinical Program Coordinator RN

Washington Licensed Clinical Program Coordinator RN

VirtualVocations • Rockville, Maryland, United States
A tiempo completo
A company is looking for a Clinical Program Coordinator RN, Medicare / Medicaid who will provide care coordination and management services for members. Key Responsibilities Provide care coordinati...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
State Licensed Director of Clinical Excellence

State Licensed Director of Clinical Excellence

VirtualVocations • Baltimore, Maryland, United States
A tiempo completo
A company is looking for a Director, Clinical Excellence (Post Acute, VBC).Key Responsibilities Lead the operational delivery of the post-acute care program to ensure coordinated patient transiti...Mostrar más
Última actualización: hace 2 días • Oferta promocionada
Oregon Licensed Clinical Supervisor

Oregon Licensed Clinical Supervisor

VirtualVocations • Washington, District of Columbia, United States
A tiempo completo
A company is looking for a Clinical Supervisor - OR - LPC or LCSW - Remote.Key Responsibilities Provide supervision to a minimum of six resident clinicians, including weekly group and individual ...Mostrar más
Última actualización: hace 2 días • Oferta promocionada
Georgia Licensed Clinical Policy Manager

Georgia Licensed Clinical Policy Manager

VirtualVocations • Washington, District of Columbia, United States
A tiempo completo
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...Mostrar más
Última actualización: hace 15 días • Oferta promocionada
Texas Licensed RN Manager

Texas Licensed RN Manager

VirtualVocations • Alexandria, Virginia, United States
A tiempo completo
A company is looking for a Manager of Prior Authorization UM - Aetna Medicaid Texas - RN.Key Responsibilities Lead and manage the prior authorization team, including hiring, training, and perform...Mostrar más
Última actualización: hace 2 días • Oferta promocionada
Remote Clinical Claim Review RN

Remote Clinical Claim Review RN

VirtualVocations • Washington, District of Columbia, United States
Teletrabajo
A tiempo completo
Key Responsibilities Conduct MS-DRG and APR-DRG coding reviews to verify accuracy and identify overpayments Perform clinical coding reviews ensuring accuracy and compliance with coding guideline...Mostrar más
Última actualización: hace 2 días • Oferta promocionada
State Licensed Clinical Reviewer

State Licensed Clinical Reviewer

VirtualVocations • Washington, District of Columbia, United States
A tiempo completo
A company is looking for a Clinical Reviewer to perform Utilization Management and review clinical information for service requests. Key Responsibilities Evaluate referral appropriateness for serv...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
California Licensed Clinical Case Manager

California Licensed Clinical Case Manager

VirtualVocations • Washington, District of Columbia, United States
A tiempo completo
A company is looking for an Out of Network (OON) Clinical Case Manager (CM) - Remote (CA Only) - Per diem - Variable.Key Responsibilities Coordinate quality healthcare services in out of network ...Mostrar más
Última actualización: hace 7 horas • Oferta promocionada • Nueva oferta
Illinois Licensed RN Auditor

Illinois Licensed RN Auditor

VirtualVocations • Alexandria, Virginia, United States
A tiempo completo
A company is looking for an RN Compliance & Charge Capture Auditor.Key Responsibilities Conducts daily audits of Inpatient, Observation, ED, and Outpatient Infusion accounts Tracks and analyzes ...Mostrar más
Última actualización: hace 2 días • Oferta promocionada