Alabama Licensed Medical Reviewer
VirtualVocationsHuntington Beach, California, United States6 hours ago
Job type
- Full-time
Job description
A company is looking for a Medical Reviewer II to perform medical reviews and support medical claims.
Key Responsibilities
Conducts medical claim reviews and determines medical necessity based on established criteria and guidelines
Educates staff on medical reviews, terminology, and coverage determinations
Participates in quality control activities and provides guidance to team members
Required Qualifications
Associate Degree in Nursing or Graduate of an Accredited School of Nursing
Active, unrestricted RN license from the United States or a compact multistate RN license
Two years of clinical experience as an RN
Proficiency in Microsoft Office
Create a job alert for this search
Medical Reviewer • Huntington Beach, California, United States
Related jobs A company is looking for a Clinical Other - Abstract RN.Key Responsibilities Conduct electronic medical record abstraction services accurately and efficiently Abstract information from electroni...Show moreLast updated: 2 days ago A company is looking for a Medical Reviewer.Key Responsibilities Lead statistical programming activities for clinical safety data sets Oversee the creation and validation of SDTM, ADaM, and TLFs...Show moreLast updated: 30+ days ago 
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better.
Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 30+ days ago
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United Sta...Show moreLast updated: 30+ days ago
TravelNurseSource is working with LRS Healthcare to find a qualified Med / Surg RN in Tustin, California, 92780!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits packa...Show moreLast updated: 2 days ago
AlliedTravelCareers is working with Titan Medical Group to find a qualified MRI Tech in Redding, California, 96001!.BCLS / BLS - American Heart Association / ARRT(MR).
Titan Medical is looking for trave...Show moreLast updated: 1 day ago A company is looking for a Lead Clinical Reviewer to join their team.Key Responsibilities Review medical records against criteria to determine medical appropriateness Guide team members and supp...Show moreLast updated: 1 day ago 
The Good Life MedStaff is seeking a travel nurse RN Med Surg for a travel nursing job in Avalon, California.Job Description & Requirements.
Beautiful Island location Hospital is in need of a Med...Show moreLast updated: 30+ days ago A company is looking for a Medical Reviewer II to perform medical reviews and support medical claims.Key Responsibilities Conducts medical claim reviews and determines medical necessity based on ...Show moreLast updated: 6 hours ago A company is looking for a Registered Nurse Senior Medical Reviewer (Medicare Part B).Key Responsibilities Lead and provide guidance to staff in specialty programs, medical review, and utilizatio...Show moreLast updated: 1 day ago The Good Life MedStaff is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Avalon, California.
Job Description & Requirements.Beautiful Island location travel cont...Show moreLast updated: 30+ days ago 
Facilitates the client's initial BAM survey within 24 hours of admission.Reviews intake and consent forms with new clients and collects signatures within 24 hours of admission.Conducts initial sear...Show moreLast updated: 30+ days ago A company is looking for a Clinical Reviewer, Physical Therapy.Key Responsibilities Evaluate cases that do not pass the authorization approval process and promote a supportive team approach Revi...Show moreLast updated: 1 day ago A company is looking for a Medical Reviewer III for a remote position.Key Responsibilities Provide medical review consultancy to support US Immunology Medical Affairs teams Ensure compliance wit...Show moreLast updated: 30+ days ago 
Stability Healthcare is seeking a local contract nurse RN Telemetry for a local contract nursing job in Upland, California.
Job Description & Requirements.Stability Healthcare is looking for a T...Show moreLast updated: 2 days ago A company is looking for a Medical Coding Reviewer I.Key Responsibilities Perform clinical / coding medical claim review to ensure compliance with coding practices Analyze provider billing practic...Show moreLast updated: 30+ days ago Stability Healthcare is seeking a local contract nurse RN Telemetry for a local contract nursing job in Upland, California.
Job Description & Requirements.Stability Healthcare is looking for a T...Show moreLast updated: 30+ days ago AlliedTravelCareers is working with Jackson HealthPros to find a qualified MRI Tech in Redding, California, 96001!.Jackson HealthPros is thrilled to welcome an experienced MRI Tech to our team to a...Show moreLast updated: 1 day ago A company is looking for a Clinical Appeals RN - Fully Remote.Key Responsibilities Review medical records to verify service criteria and clinical eligibility for coverage Coordinate reviews with...Show moreLast updated: 30+ days ago A company is looking for a Medical Bill Reviewer-100% remote (EST or CST time zone).Key Responsibilities Identify provider participation status when automated processes fail Apply PPO guidelines...Show moreLast updated: 3 days ago
- Promoted
Texas Licensed Clinical Abstract RN
VirtualVocationsNorwalk, California, United StatesFull-time
- Promoted
Medical Reviewer
VirtualVocationsGlendale, California, United StatesFull-time
- Promoted
Licensed Mental Health Therapist (LMFT, LCSW, LPCC) - Avalon, CA
LifeStance HealthAvalon, CA, USFull-time
- Promoted
Physician / Oncology / California / Permanent / Associate Medical Director - Oncology - 100% Remote
eviCore healthcareLos Angeles, CA, USRemote
Part-time
- Promoted
Travel Nurse RN - Medical-Surgical - $1,423 to $1,578 per week in Tustin, CA
TravelNurseSourceTustin, CA, USFull-time
- Promoted
Travel MRI Tech in Redding, CA
AlliedTravelCareersLos Angeles, California, USFull-time
- Promoted
Virginia Licensed Lead Clinical Reviewer
VirtualVocationsMission Viejo, California, United StatesFull-time
- Promoted
Travel Nurse RN - Med Surg
The Good Life MedStaffAvalon, CA, USFull-time
- Promoted
- New!
Alabama Licensed Medical Reviewer
VirtualVocationsSignal Hill, California, United StatesFull-time
- Promoted
Tennessee Licensed Senior Medical Reviewer
VirtualVocationsCarson, California, United StatesFull-time
- Promoted
Travel Nurse RN - ED - Emergency Department
The Good Life MedStaffAvalon, CA, USFull-time
- Promoted
Behavioral Health Technician
Ocean Hills Recovery LLCDana Point, CA, USFull-time
- Promoted
Licensed Physical Therapy Reviewer
VirtualVocationsSignal Hill, California, United StatesFull-time
- Promoted
Medical Reviewer III
VirtualVocationsCarson, California, United StatesPart-time
- Promoted
Local Contract Telemetry RN
Stability HealthcareUpland, CA, USFull-time
- Promoted
Remote Medical Coding Reviewer
VirtualVocationsMission Viejo, California, United StatesRemote
Full-time
- Promoted
Local Contract Nurse RN - Telemetry
Stability HealthcareUpland, CA, USFull-time
- Promoted
Travel MRI Tech - $2,375 to $2,575 per week in Redding, CA
AlliedTravelCareersLos Angeles, California, USFull-time +1
- Promoted
California Licensed Clinical Appeals RN
VirtualVocationsNorwalk, California, United StatesFull-time
- Promoted
Medical Bill Reviewer
VirtualVocationsMission Viejo, California, United StatesFull-time