Tennessee Licensed Clinical Review ManagerVirtualVocations • Evansville, Indiana, United States
Tennessee Licensed Clinical Review Manager
VirtualVocations • Evansville, Indiana, United States
12 days ago
Job type
- Full-time
Job description
A company is looking for a Clinical Review Manager to oversee medical reviews for utilization management.
Key Responsibilities
Initiate referrals for appropriate coordination of care
Assist in comprehensive provider and member appeals, including denial interpretation and retrospective claim reviews
Collaborate with the Medical Director and non-clinical staff as needed
Required Qualifications
Active Registered Nurse (RN) license in Tennessee or a participating state
Minimum of 3 years of clinical experience
Proficiency in Microsoft Office applications
Working knowledge of URAC, NCQA, and CMS accreditations
Ability to work independently and manage multiple projects
Create a job alert for this search
Review Manager • Evansville, Indiana, United States
Related jobs
TravelNurseSource is working with Ventura MedStaff to find a qualified Case Manager RN in Indianapolis, Indiana, 46260!.Are you ready to take your Travel career to the next level? See places you h...Show more TravelNurseSource is working with Atlas MedStaff to find a qualified Case Manager RN in Indianapolis, Indiana, 46260!.Atlas Medstaff is currently seeking candidates in the RN (Case Manager) profess...Show more 
RN Neurology for a travel nursing job in Newburgh, Indiana.Job Description & Requirements.The ideal candidate must have a least 2 years of relevant clinical practice setting experience and hold a c...Show more TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in Indianapolis, Indiana, 46260!.Ready to start your next travel adventure? LRS Healthcare offers a full benefit...Show more TravelNurseSource is working with Gifted Healthcare to find a qualified Case Manager RN in Indianapolis, Indiana, 46201!.
The Gifted Healthcare Experience .Gifted Healthcare is an award-winning trav...Show more 
Supplemental Health Care is seeking a travel nurse RN Telemetry for a travel nursing job in Newburgh, Indiana.Job Description & Requirements.
Current Indiana Nursing License.American Heart Associati...Show more
Facility in Evansville, Indiana.Fusion Medical Staffing is seeking a skilled Oncology RN for a 13-week travel assignment in Evansville, Indiana.
As a member of our team, you'll have the opportunity ...Show more
Director Case Management - Central Region.We are seeking an experienced and dynamic Regional Director of Case Management to lead and oversee case management operations across our healthcare facilit...Show more TravelNurseSource is working with Patterns LLC to find a qualified Oncology RN in Fort Wayne, Indiana, 46801!.Equipment utilized in the unit / dept.
Is there computerized charting, medication systems,...Show more 
Host Healthcare is seeking a travel nurse RN Neurology for a travel nursing job in Newburgh, Indiana.Job Description & Requirements.
Host Healthcare Job ID #a1fVJ000006xYrpYAE.Pay package is based o...Show more
Regional CNA Training Program Director.American Senior Communities is now hiring a Regional Nurse Aide Training Program Director.
Evansville and surrounding area.The Regional Training Program Direct...Show more TravelNurseSource is working with LRS Healthcare to find a qualified Oncology RN in Fort Wayne, Indiana, 46804!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pack...Show more 
TNAA TotalMed RN is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Newburgh, Indiana.Job Description & Requirements.
Clinical Interview with manager approval • •.Minimum Ex...Show more The Regional Director of Physician Practices (RDPP) oversees the operations of assigned clinics within the Deaconess Physician Enterprise, ensuring efficiency, financial performance, and clinical q...Show more TravelNurseSource is working with Compunnel Healthcare to find a qualified Case Manager RN in Indianapolis, Indiana, 46205!.
RN experience with at least one (1) year experience in case management is...Show more TravelNurseSource is working with FlexCare to find a qualified Telemetry RN in Princeton, Indiana, 47670!.FlexCare is a nationwide leader in the staffing of travel nurses and clinicians.With access...Show more TravelNurseSource is working with Malone Healthcare to find a qualified Telemetry RN in Princeton, Indiana, 47670!.Medical Surgical / Telemetry Registered Nurse Days - Deaconess Gibson Hospital, Pr...Show more 
Nightingale Nurses is seeking a travel nurse RN Neurology for a travel nursing job in Newburgh, Indiana.Job Description & Requirements.
You may not realize it, but as an RN with real world hospital ...Show more
Job Opportunity : RN - Med Surg / Telemetry\n\nPosition Details\nSpecialty : RN - Med Surg / Telemetry\nLocation : Newburgh, Indiana\nFacility : AHS Staffing\nEmployment Type : Temporary\nContract Lengt...Show more
The Clinical Applications, LIS Manager is responsible for direct oversight of applications and analysts within our LIS teams.
This role collaborates with other DTS and operational leaders to develop...Show more
Travel Nurse RN - Case Manager - $1,835 to $2,035 per week in Indianapolis, IN
TravelNurseSource • Evansville, Indiana, US
Full-time
Last updated: 6 days ago • Promoted
Travel Nurse RN - Case Manager - $1,836 per week in Indianapolis, IN
TravelNurseSource • Evansville, Indiana, US
Full-time
Last updated: 30+ days ago • Promoted
Travel Nurse RN - Neurology - $2,160 per week
Alliance Services, Inc. • Newburgh, IN, United States
Full-time
Last updated: 17 days ago • Promoted
Travel Nurse RN - Case Manager - $1,778 to $1,971 per week in Indianapolis, IN
TravelNurseSource • Evansville, Indiana, US
Full-time
Last updated: 6 days ago • Promoted
Travel Nurse RN - Case Manager - $1,760 per week in Indianapolis, IN
TravelNurseSource • Evansville, Indiana, US
Full-time
Last updated: 30+ days ago • Promoted
Travel Nurse RN - Telemetry - $2,020 per week
Supplemental Health Care • Newburgh, IN, United States
Full-time +1
Last updated: 16 days ago • Promoted
Travel Oncology RN
Fusion Medical Staffing • Evansville, IN, United States
Full-time
Last updated: 30+ days ago • Promoted
Director Case Management - Central Region
Deaconess • Evansville, IN, US
Full-time +1
Last updated: 30+ days ago • Promoted
Travel Nurse RN - Oncology - $31 to $49 per hour in Fort Wayne, IN
TravelNurseSource • Evansville, Indiana, US
Full-time
Last updated: 30+ days ago • Promoted
Travel Nurse RN - Neurology - $2,066 per week
Host Healthcare • Newburgh, IN, United States
Full-time
Last updated: 30+ days ago • Promoted
Regional CNA Training Program Director
American Senior Communities • Evansville, IN, US
Full-time +1
Last updated: 3 days ago • Promoted
Travel Nurse RN - Oncology - $1,740 to $1,929 per week in Fort Wayne, IN
TravelNurseSource • Evansville, Indiana, US
Full-time
Last updated: 30+ days ago • Promoted
Travel Medical Surgical / Telemetry RN - $2,096 per week
TNAA TotalMed RN • Newburgh, IN, United States
Permanent
Last updated: 30+ days ago • Promoted
Director Regional Clinic
Deaconess • Evansville, IN, US
Full-time
Last updated: 4 days ago • Promoted
Travel Nurse RN - Case Manager - $220 to $2,320 per week in Indianapolis, IN
TravelNurseSource • Evansville, Indiana, US
Full-time
Last updated: 6 days ago • Promoted
Travel Nurse RN - Telemetry - $2,088 per week in Princeton, IN
TravelNurseSource • Princeton, IN, US
Full-time
Last updated: 2 days ago • Promoted
Travel Nurse RN - Telemetry in Princeton, IN
TravelNurseSource • Princeton, IN, US
Full-time
Last updated: 23 days ago • Promoted
Travel Nurse RN - Neurology - $2,071 per week
Nightingale Nurses • Newburgh, IN, United States
Full-time
Last updated: 10 days ago • Promoted
Nursing - Travel Telemetry RN
Vetted Health • Newburgh, IN, United States
Temporary
Last updated: 1 day ago • Promoted
Manager Clinical Applications - Laboratory Information Systems - Digital Technology Services
Deaconess News • Evansville, IN, US
Full-time
Last updated: 9 days ago • Promoted