North Carolina Licensed Clinical Evaluator
VirtualVocationsReno, Nevada, United States4 days ago
Job type
- Full-time
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
Create a job alert for this search
North Carolina Licensed Clinical Evaluator • Reno, Nevada, United States
Related jobs
Clean Earth is a leading provider of environmental services in the United States providing remediation, disposal, recycling, and beneficial reuse solutions for hazardous and non-hazardous waste, co...Show moreLast updated: 30+ days ago
Near Lake Tahoe- $400k+ Documented Earnings and No State Income Tax.Partnership opportunity within 1-2 years.Pediatrician tenure and longevity are amazing!.
Great support from leadership and a tight...Show moreLast updated: 5 days ago)
Opportunities available across multiple states.We are reimagining healthcare delivery with a patient-centered, team-based approach that focuses on prevention, quality outcomes, and coordinated care...Show moreLast updated: 3 days ago
Job Description Job Summary Provides support for member clinical review processes specific to applied behavioral analysis (ABA) services.
Responsible for verifying that behavioral health services ar...Show moreLast updated: 7 days ago
Pivot Onsite Innovations has an immediate need for an experienced and passionate Industrial Athletic Trainer at our client’s site in Sparks, NV.
This position offers an opportunity to work at a dyna...Show moreLast updated: 1 day ago
CompHealth services are always free to you.Let us do the heavy lifting and handle the headache of credentialing, travel, housing, and so much more.
With the premier staffing agency as your champion,...Show moreLast updated: 5 hours ago
WHEN YOU WORK FOR US, WE WORK FOR YOU.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country.
You also get unmatched service.From the moment you...Show moreLast updated: 19 days ago
Join Sysco for an Open Interview!.Now Hiring Local CDL-A Delivery Drivers in Reno, NV!.Ongoing job skills and leadership development training.
Career growth opportunities – we promote from wit...Show moreLast updated: 3 days ago
Nurse Practitioner (NP) – Veteran Disability Assessments We are seeking a dedicated Nurse Practitioner (NP) to join our team in performing medical assessments for U.
Veterans as part of the VA's di...Show moreLast updated: 30+ days ago
Candidates who do not live in NV must work Pacific Business Hours permanently.JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team m...Show moreLast updated: 2 hours ago
Do you have a Physical Therapy license? Do you have a passion for people? Love the hustle and bustle of a busy clinic? .Join ROC as a Physical Therapist! .
This position will remain posted...Show moreLast updated: 6 days ago Pivot Onsite Innovations has an immediate need for an experienced and passionate Industrial Athletic Trainer at our client’s site in Sparks, NV.
This position offers an opportunity to work at a dyna...Show moreLast updated: 1 day ago 
Setting : Outpatient, Orthopedics, Neurology .Compensation : $1,624 - $1,904 estimated weekly pay .Start : ASAP | open to 1-2 months out .
Duration : 13 weeks | potential to extend .Benefits : Blu...Show moreLast updated: 30+ days ago
Looking for people to participate in taking online surveys for Fortune 500 brands.All you need to do is complete online surveys by sharing your opinion.
You will help influence brand decisions on se...Show moreLast updated: 30+ days ago
Giving Home Health Care is seeking a local contract nurse RN Home Health for a local contract nursing job in Fernley, Nevada.
Job Description & Requirements.Since 2012, Giving Home Health Care has b...Show moreLast updated: 9 days ago
AlliedTravelCareers is working with Aequor to find a qualified BCBA - School in Fernley, Nevada, 89408!.Aequor is now hiring a full-time Board Certified Behavior Analyst (BCBA) for the 2023-2024 sc...Show moreLast updated: 10 days ago
Are you passionate about delivering outstanding, compassionate healthcare but tired of grueling shifts and overwhelming patient loads? Are you ready to expand your skills with a company that truly ...Show moreLast updated: 30+ days ago
Direct Counsel is representing an Am Law 100 firm seeking a Patent Prosecution & Litigation Technical Advisor with a background in Electrical Engineering or Computer Science.This position is op...Show moreLast updated: 4 days ago
Health Services Response Advisor.Consumer and Commercial PERS customers by receiving, evaluating and prioritizing emergency and non-emergency telephone and electronic requests for assistance.These ...Show moreLast updated: 2 days ago
Associate Dentist Opportunity in Paradise Kailua-Kona, Hawaii.Are you ready to elevate your dental career while living in one of the most breathtaking places on earth?.
Kailua-Kona on the Big Island...Show moreLast updated: 30+ days ago
- Promoted
Laboratory Manager
Clean EarthFernley, NV, USFull-time
- Promoted
Lake Tahoe Pediatrics | $400k Average Earnings | Partnership
The Medicus FirmCrystal Bay, NV, United StatesFull-time
- Promoted
Outpatient Primary Care Physician – CareMore Health
CS Vera Whole Health (CareMore Health)Cold Springs, NV, United StatesFull-time
- Promoted
Care Review Clinician, Applied Behavioral Analysis (ABA)
Molina HealthcareSparks, NV, United StatesFull-time
- Promoted
Athletic Trainer Relocation Bonus
Pivot OnSite InnovationsSilver Springs, NV, United StatesFull-time
- Promoted
- New!
Family Practice Physician Is Wanted for Locums Coverage in CA
CompHealthFlick Point, CA, USFull-time
- Promoted
Travel - Cath Lab Tech
Titan Medical GroupFloriston, CA, United StatesFull-time
- Promoted
Open Interview - CDL-A Drivers - Home Daily + Earn Up to $30.51 / Hour
SyscoCrystal Bay, NV, USFull-time
- Promoted
Nurse Practitioner - Fallon NV
MRG ExamsFernley, NV, United StatesPart-time
- Promoted
- New!
Care Review Clinician, PA (RN)
Molina HealthcareCity, NV, USFull-time
Physical Therapist - Fernley, NV
Reno Orthopedic CenterFernley, NV, USFull-time
Quick Apply
- Promoted
Athletic Trainer - Relocation Bonus
Pivot OnSite InnovationsSilver Springs, NV, United StatesFull-time
- Promoted
Physical Therapist
Delta CompaniesFernley, NV, United StatesFull-time
- Promoted
Survey Taker : Earn up to $25 per survey (Remote)
Earn HausIncline Village, NV, United StatesRemote
Full-time +1
- Promoted
Local Contract Nurse RN - Home Health - $40 per hour
Giving Home Health CareFernley, NV, United StatesFull-time
- Promoted
Travel Board Certified Behavioral Analyst (BCBA) - School in Fernley, NV
AlliedTravelCareersFernley, NV, USFull-time
- Promoted
Certified Medical Assistant
PMR HealthcareFernley, NV, USFull-time
- Promoted
Patent Prosecution & Litigation Patent Agent / Technical Advisor - Reno
Direct CounselVerdi, NV, USFull-time
- Promoted
Emergency & Wellness Response Triage Specialist
Best Buy HealthDayton, NV, USFull-time
- Promoted
FT / PT Dentist- Big Island of Hawaii- Make up to $650k per year!
BAYS DENTAL GROUP PCDayton, NV, USFull-time +1