Licensed Clinical ReviewerVirtualVocations • Baltimore, Maryland, United States
Licensed Clinical Reviewer
VirtualVocations • Baltimore, Maryland, United States
30+ days ago
Job type
- Full-time
Job description
A company is looking for a Clinical Reviewer of Behavioral Health.
Key Responsibilities
Review medical records to determine medical appropriateness based on contract requirements
Monitor and adjust daily workload to meet departmental demands and ensure timely case reviews
Act as a liaison for providers and assist in quality monitoring and improvement activities
Required Qualifications
Active unrestricted Licensed Mental Health Professional (LMHP) in relevant fields
Bachelor's Degree or higher in a related field from an accredited institution
At least 1 year of experience in Prior Authorization, Utilization Review, or Utilization Management
Ability to work alternating weekends
Create a job alert for this search
Clinical Reviewer • Baltimore, Maryland, United States
Related jobs A company is looking for a QHCP Clinical Reviewer (NP, PA, or CNM) - Fractional / Part-Time in Texas.Key Responsibilities Monitor patient data trends to identify high-risk cases requiring intervent...Show more A company is looking for a Clinical Review Nurse - Prior Authorization.Key Responsibilities Review both prior authorization (PA) and inpatient (IP) requests Complete up to 20 authorization revie...Show more 
We offer free parking to all associates! .Various health insurance options & wellness plans.Retirement benefits including employer match plans.
Long-term & short-term disability.Employee assistance ...Show more
Johns Hopkins Howard County Medical Center is a private, not-for-profit, community health care provider, governed by a community-based board of trustees.
Since its founding in 1973, the original 59-...Show more
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 more 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 more We offer free parking to all associates!.Various health insurance options & wellness plans.Retirement benefits including employer match plans.
Long-term & short-term disability.Employee assistance p...Show more 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 more 
Job Reference Id : ORD-203437-CRNA-PA.Dates Needed : November - Ongoing.Board Certification Required : Yes.A busy hospital is seeking a CRNA for locum tenens coverage.
The facility is located in Hanove...Show more 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 more 
Do you know someone that might be a good fit for this position? Please ask about our generous referral fees!.Monday-Friday, approximately 7a-4p.
No anesthesiologist supervision.Allow RecruitWell to ...Show more A company is looking for an RN Utilization Management Reviewer.Key Responsibilities : Conduct pre-certification, concurrent, and retrospective reviews focusing on utilization management and care c...Show more A company is looking for a Manager, Clinical Policy to join their Clinical Policy team.Key Responsibilities Clinically evaluate vendor policy sets to ensure compliance with internal and external ...Show more 
We are seeking a qualified RN / LPN with experience in HEDIS reporting and overread processes.The ideal candidate will have a robust understanding of healthcare quality metrics and a proven track rec...Show more 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 more 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 more A company is looking for a Manager of Clinical Review to oversee clinical operations and ensure high-quality patient care.
Key Responsibilities Monitor quality of care and compliance with policies...Show more A company is looking for a DRG Reviewer to join their remote Payment Integrity team.Key Responsibilities Analyze and review inpatient claims for adherence to Official Coding and Reporting Guideli...Show more
Texas Licensed Clinical Reviewer
VirtualVocations • Rockville, Maryland, United States
Part-time
Last updated: less than 1 hour ago • Promoted • New!
Oregon Licensed Clinical Review Nurse
VirtualVocations • Washington, District of Columbia, United States
Full-time
Last updated: 30+ days ago • Promoted
RN Clinical Lead - Labor & Delivery
Ascension • Columbia, MD, US
Full-time
Last updated: 9 days ago • Promoted
Lead Clinical RN - Med / Surg
Johns Hopkins Medicine • Columbia, MD, US
Full-time
Last updated: 24 days ago • Promoted
Licensed Clinical Social Worker (LCSW)
LifeStance Health • Annapolis, MD, US
Full-time
Last updated: 30+ days ago • Promoted
Licensed Mental Health Therapist (LCSW-C, LCPC, LCMFT)
LifeStance Health • 21152, MD, US
Full-time +1
Last updated: 30+ days ago • Promoted
RN Clinical Lead - Cardiac Tele
Ascension • Columbia, MD, US
Full-time
Last updated: 2 days ago • Promoted
Licensed Therapist (LCSW, LPC, LMFT)
LifeStance Health • Severn, MD, US
Full-time
Last updated: 30+ days ago • Promoted
Locum Tenens | CRNA Anesthesiology
LocumTenens.com • Hanover, PA, US
Full-time
Last updated: 17 hours ago • Promoted • New!
Licensed Clinical Professional Counselor (LCPC)
LifeStance Health • Millersville, MD, US
Full-time +1
Last updated: 30+ days ago • Promoted
CRNA - Anesthesiology job available in Columbia, Maryland
RecruitWell • Columbia, MD, US
Permanent
Last updated: 30+ days ago • Promoted
Massachusetts Licensed RN Reviewer
VirtualVocations • Baltimore, Maryland, United States
Full-time
Last updated: 3 days ago • Promoted
Texas Licensed Clinical Policy Manager
VirtualVocations • Washington, District of Columbia, United States
Full-time
Last updated: 18 days ago • Promoted
HEDIS Clinical Review Specialist
Vega Consulting Solutions, Inc • Baltimore, MD, US
Temporary
Last updated: 17 hours ago • Promoted • New!
Licensed Therapist (LCSW-C, LCPC, LCMFT)
LifeStance Health • Chester, MD, US
Full-time +1
Last updated: 30+ days ago • Promoted
Licensed Therapist (LCSW / LPCMH / LMFT)
LifeStance Health • Abingdon, MD, US
Full-time
Last updated: 30+ days ago • Promoted
RN Clinical Review Manager
VirtualVocations • Baltimore, Maryland, United States
Full-time
Last updated: 3 days ago • Promoted
Certified DRG Reviewer
VirtualVocations • Washington, District of Columbia, United States
Full-time
Last updated: 4 days ago • Promoted