Talent.com
Licensed Clinical Reviewer
Licensed Clinical ReviewerVirtualVocations • Huntington Beach, California, United States
No longer accepting applications
Licensed Clinical Reviewer

Licensed Clinical Reviewer

VirtualVocations • Huntington Beach, California, United States
7 days ago
Job type
  • Full-time
Job description

A company is looking for a Clinical Reviewer (Remote - SCA - 25 Hrs / Wk).

Key Responsibilities

Assures accuracy and timeliness of review cases within contract requirements

Assesses and adjusts daily workload and schedules to meet department demands

Maintains knowledge of review processes and serves as a resource for nurse reviewers

Required Qualifications

Active unrestricted LPN, RN, or Social Worker clinical license

Minimum three years of clinical experience in an acute or med-surgical environment

Strong clinical assessment and critical thinking skills

Medical record abstracting skills

Proficient in Microsoft Office and Internet / web navigation

Create a job alert for this search

Clinical Reviewer • Huntington Beach, California, United States

Related jobs
Texas Licensed Care Review Clinician

Texas Licensed Care Review Clinician

VirtualVocations • Pasadena, California, 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: 2 days ago • Promoted
Clinical Review Specialist II (On-Site)

Clinical Review Specialist II (On-Site)

University of California - Los Angeles Health • Santa Monica, CA, United States
Full-time
Play a key role within a world-class health system.Help ensure the delivery of safe, award-winning care and positive patient outcomes. Make the most of your background and abilities.You can do all t...Show more
Last updated: 30+ days ago • Promoted
Licensed Clinical Review Nurse

Licensed Clinical Review Nurse

VirtualVocations • Fullerton, California, United States
Full-time
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...Show more
Last updated: 30+ days ago • Promoted
Maryland Licensed Clinical Supervisor

Maryland Licensed Clinical Supervisor

VirtualVocations • Norwalk, California, United States
Full-time
A company is looking for a Residency Clinical Supervisor to ensure high-quality care delivery and provider development in a remote setting. Key Responsibilities Provide supervision and guidance to...Show more
Last updated: 2 days ago • Promoted
Clinical Trial Rater

Clinical Trial Rater

Concierge Clinical Trials, Inc. • Los Angeles, CA, US
Full-time
We are seeking a detail-oriented Clinical Trial Rater to join our team.In this role, you will be responsible for overseeing the evaluation and rating of clinical trial data, ensuring compliance wit...Show more
Last updated: 9 days ago • Promoted
Georgia Licensed Clinical Leader RN

Georgia Licensed Clinical Leader RN

VirtualVocations • Norwalk, California, United States
Full-time
A company is looking for a Clinical Leader- Registered Nurse in Georgia.Key Responsibilities Ensure effective execution of clinical services and compliance with regulatory standards Oversee clie...Show more
Last updated: 6 hours ago • Promoted • New!
Texas Licensed Clinical Auditor

Texas Licensed Clinical Auditor

VirtualVocations • Fullerton, California, 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: 3 days ago • Promoted
RN Clinical Review Clinician

RN Clinical Review Clinician

VirtualVocations • Huntington Beach, California, 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: 3 days ago • Promoted
New York Licensed Clinical Supervisor

New York Licensed Clinical Supervisor

VirtualVocations • Carson, California, United States
Full-time
A company is looking for a Supervisor, Clinical Grievance and Appeals.Key Responsibilities Supervise nurses in the clinical Appeals and Grievance department, ensuring compliance with state / federa...Show more
Last updated: 1 day ago • Promoted
Texas Licensed Clinical Manager

Texas Licensed Clinical Manager

VirtualVocations • Mission Viejo, California, 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: 4 days ago • Promoted
New York Licensed Clinical Success Manager

New York Licensed Clinical Success Manager

VirtualVocations • Glendale, California, United States
Full-time
A company is looking for a Clinical Success Manager to support healthcare organizations in adopting and maximizing the return on investment for their technology solutions.Key Responsibilities Par...Show more
Last updated: 1 day ago • Promoted
RN / LVN Regional Clinical Liaison - Los Angeles, CA

RN / LVN Regional Clinical Liaison - Los Angeles, CA

Skilled Wound Care • Los Angeles, CA, US
Full-time
These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the way that care is delivered. Skilled Wound Care is looking for a.RN...Show more
Last updated: 30+ days ago • Promoted
Georgia Licensed Clinical Manager

Georgia Licensed Clinical Manager

VirtualVocations • Norwalk, California, 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: 4 days ago • Promoted
Multi-State Licensed Care Review Clinician

Multi-State Licensed Care Review Clinician

VirtualVocations • Glendale, California, 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: 3 days ago • Promoted
Texas Licensed Concurrent Review RN

Texas Licensed Concurrent Review RN

VirtualVocations • Signal Hill, California, 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: 3 days ago • Promoted
Licensed Clinical Services Manager

Licensed Clinical Services Manager

VirtualVocations • Glendale, California, United States
Full-time
A company is looking for a Clinical Services and Operations Manager.Key Responsibilities Oversee day-to-day operations for all clinical programs, ensuring compliance and performance standards Mo...Show more
Last updated: 2 days ago • Promoted
Licensed Utilization Review Clinician

Licensed Utilization Review Clinician

VirtualVocations • Whittier, California, 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
Florida Licensed Clinical Therapist

Florida Licensed Clinical Therapist

VirtualVocations • Long Beach, California, 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