Nevada Licensed Clinical Review CoordinatorVirtualVocations • Chula Vista, California, United States
Nevada Licensed Clinical Review Coordinator
VirtualVocations • Chula Vista, California, United States
5 days ago
Job type
- Full-time
Job description
A company is looking for a Clinical Review Coordinator to conduct mandatory case reviews and quality assurance activities.
Key Responsibilities
Ensure an efficient case review process and identify problem areas
Support physician reviewers by summarizing case facts and resolving issues
Communicate with Medicare beneficiaries and healthcare providers regarding quality improvement activities
Required Qualifications
Graduation from an accredited nursing school and current RN or LPN licensure
A degree in a healthcare-related field with clinical experience in Medicare QIO
Experience in quality of care review or medical review related to Medicare
Minimum of two to four years of clinical decision-making experience with Medicare patients
Must notify HR of any changes to licensure or certifications within five calendar days
Create a job alert for this search
Clinical Coordinator • Chula Vista, California, United States
Related jobs A company is looking for a Clinical Research Coordinator, RN.Key Responsibilities Communicate with Study Sponsors, CROs, and staff regarding protocol status and concerns Monitor study conduct to...Show more A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews of members to assess overall health and appropriate level of care Reviews qu...Show more A company is looking for a HEDIS Reviewer III in West Virginia.Key Responsibilities Participates in the collection and review of medical records for HEDIS quality reporting Ensures accurate docu...Show more A company is looking for a HS Review Coordinator II responsible for coordinating and supporting intake functions within the Utilization Management Department.
Key Responsibilities Triage, research...Show more A company is looking for a Lead Clinical Documentation Coordinator (Remote).Key Responsibilities Manage day-to-day workflow of the Clinical Documentation Integrity Program Conduct concurrent and...Show more A company is looking for a Clinical Research Coordinator, RN.Key Responsibilities Communicate with Study Sponsors, CROs, and staff regarding protocol status and concerns Monitor study conduct fo...Show more 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 
Clinical Data Coordinator Job Duties : Support laboratory data management procedures including authoring and reviewi...Show more
Salary : $29-32 per hour; nonexempt.About Retina Consultants San Diego (RCSD).Doctors throughout the world refer their patients to Retina Consultants San Diego, and we are honored to have hundreds o...Show more A company is looking for a Clinical Trial Coordinator - FSP.Key Responsibilities Coordinates and completes functions on assigned trial activities Performs administrative tasks including document...Show more A company is looking for a Clinical Coordinator Department Manager.Key Responsibilities Lead and develop the Clinical Coordination team to ensure high standards of accuracy and accountability En...Show more 
Gilman Drive, San Diego, CA 92093, United States .Initial Review Date : Mon 10 / 27 / 2025.UC San Diego values and welcomes people from all backgrounds.
If you are interested in being part of our team, p...Show more 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 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 East Campus Office Building (ECOB) .Medical Center Drive, San Diego, CA 92037, United States .Initial Review Date : Tue 10 / 28 / 2025.
UC San Diego values and welcomes people from all backgrounds.If you...Show more 
Psychiatric Technician - Statewide in CA Position : Psychiatric Technician Location : Statewide - Multiple Locations Throughout California Annual Salary Range : $71,460 - $105,084 California Correctio...Show more 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 
UCSD Layoff from Career Appointment.Apply by 07 / 18 / 2025 for consideration with preference for rehire.All layoff applicants should contact their Employment Advisor.
Eligible Special Selection clients...Show more
Michigan Licensed Clinical Research Coordinator
VirtualVocations • Chula Vista, California, United States
Full-time
Last updated: 3 days ago • Promoted
Nevada Licensed Clinical Review Nurse
VirtualVocations • Chula Vista, California, United States
Full-time
Last updated: 30+ days ago • Promoted
HEDIS Reviewer III - WV
VirtualVocations • Chula Vista, California, United States
Full-time
Last updated: 4 days ago • Promoted
Health Services Review Coordinator
VirtualVocations • Chula Vista, California, United States
Full-time
Last updated: 3 days ago • Promoted
Nevada Licensed Clinical Documentation Coordinator
VirtualVocations • Chula Vista, California, United States
Full-time
Last updated: 30+ days ago • Promoted
California Licensed Clinical Research Coordinator
VirtualVocations • Chula Vista, California, United States
Full-time
Last updated: 3 days ago • Promoted
Multi-State Licensed Care Review Clinician
VirtualVocations • Chula Vista, California, United States
Full-time
Last updated: 5 days ago • Promoted
Sr. Clinical Data Coordinator
TradeJobsWorkForce • 92147 San Diego, CA, US
Full-time
Last updated: 30+ days ago • Promoted
Clinical Research Coordinator II
Retina Consultants San Diego • Poway, CA, US
Full-time
Last updated: 15 hours ago • Promoted • New!
Clinical Trial Coordinator
VirtualVocations • Chula Vista, California, United States
Full-time
Last updated: 30+ days ago • Promoted
Clinical Coordinator Manager
VirtualVocations • Chula Vista, California, United States
Full-time
Last updated: 2 days ago • Promoted
Clinical Research Coordinator - 135948
UC San Diego • San Diego, CA, United States
Full-time
Last updated: 30+ days ago • Promoted
Texas Licensed Care Review Clinician
VirtualVocations • Chula Vista, California, United States
Full-time
Last updated: 4 days ago • Promoted
Arizona Licensed Clinical Supervisor
VirtualVocations • Chula Vista, California, United States
Full-time
Last updated: 2 days ago • Promoted
Clinical Research Coordinator - 135293
UC San Diego • San Diego, CA, United States
Full-time
Last updated: 30+ days ago • Promoted
Psychiatric Technician - Statewide in CA
California Department of Corrections and Rehabilitation • Dulzura, California, US
Full-time
Last updated: 30+ days ago • Promoted
Texas Licensed Concurrent Review RN
VirtualVocations • Chula Vista, California, United States
Full-time
Last updated: 5 days ago • Promoted
Clinical Research Coordinator - 135948
UC San Diego Health • San Diego, CA, United States
Full-time
Last updated: 30+ days ago • Promoted