Talent.com
Oregon Licensed Clinical Review Nurse
Oregon Licensed Clinical Review NurseVirtualVocations • Chula Vista, California, United States
Oregon Licensed Clinical Review Nurse

Oregon Licensed Clinical Review Nurse

VirtualVocations • Chula Vista, California, United States
30+ days ago
Job type
  • Full-time
Job description

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 reviews per day

Required Qualifications

At least 2 years of Prior Authorization or Inpatient Authorization review experience

Active Oregon license as an RN or LPN

Willingness to work a flexible schedule including 1 weekend per month and a few holidays per year

Ability to work well independently and as part of a team

Create a job alert for this search

Clinical Review Nurse • Chula Vista, California, United States

Related jobs
New York RN Clinical Review Nurse

New York RN Clinical Review Nurse

VirtualVocations • El Cajon, California, United States
Full-time
A company is looking for an RN Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to determine overall health and appropriate level of care for members Re...Show more
Last updated: 4 days ago • Promoted
State Licensed Clinical Supervisor

State Licensed Clinical Supervisor

VirtualVocations • Escondido, California, United States
Full-time
A company is looking for a Clinical Supervisor - PAC - UM EOS.Key Responsibilities Supervise and provide leadership to the Post-Acute Care team, ensuring timely completion of tasks Act as the le...Show more
Last updated: 2 days ago • Promoted
RN Clinical Review Manager

RN Clinical Review Manager

VirtualVocations • Escondido, California, United States
Full-time
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
Last updated: 2 days ago • Promoted
Florida Licensed Nurse Case Manager

Florida Licensed Nurse Case Manager

VirtualVocations • Escondido, California, United States
Full-time
A company is looking for a Telephonic Nurse Case Manager to manage medical claims and coordinate care for injured workers. Key Responsibilities Provide telephonic case management in a Workers' Com...Show more
Last updated: 2 days ago • Promoted
California Licensed Clinical Case Manager

California Licensed Clinical Case Manager

VirtualVocations • Escondido, California, United States
Full-time
A company is looking for an Out of Network (OON) Clinical Case Manager (CM) - Remote (CA Only) - Per diem - Variable.Key Responsibilities Coordinate quality healthcare services in out of network ...Show more
Last updated: 3 days ago • Promoted
Oregon Licensed Clinical Program Coordinator RN

Oregon Licensed Clinical Program Coordinator RN

VirtualVocations • Chula Vista, California, United States
Full-time
A company is looking for a Clinical Program Coordinator RN, Medicare / Medicaid who will provide care coordination and case management services to members. Key Responsibilities Provide care coordi...Show more
Last updated: 30+ days ago • Promoted
LVN Clinical

LVN Clinical

Family Health Centers of San Diego • San Diego, CA, United States
Full-time
Impact Lives, Impact Community.Family Health Centers of San Diego (FHCSD) is passionate about providing exceptional health care to all, especially underserved communities with limited health care o...Show more
Last updated: 30+ days ago • Promoted
State Licensed Clinical Audit Lead

State Licensed Clinical Audit Lead

VirtualVocations • El Cajon, California, United States
Full-time
A company is looking for a Clinical Audit Lead.Key Responsibilities Supervises teams to ensure compliance with laws, regulations, and organizational policies Implements measures to mitigate risk...Show more
Last updated: 3 days ago • Promoted
Travel Nurse RN - Clinic

Travel Nurse RN - Clinic

LanceSoft • San Diego, CA, US
Permanent
LanceSoft is seeking a travel nurse RN Clinic for a travel nursing job in San Diego, California.Job Description & Requirements. Outpatient oncology experience.Previous travel nursing experience....Show more
Last updated: 28 days ago • Promoted
Licensed Clinical Reviewer

Licensed Clinical Reviewer

VirtualVocations • Chula Vista, California, United States
Full-time
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 adju...Show more
Last updated: 30+ days ago • Promoted
Texas Licensed Case Manager Nurse

Texas Licensed Case Manager Nurse

VirtualVocations • Chula Vista, California, United States
Full-time
A company is looking for a Registered Nurse II - Case Manager.Key Responsibilities Manage continuity of care for beneficiary populations through comprehensive assessments and care planning Coord...Show more
Last updated: 2 days ago • Promoted
Travel Nurse RN - Oncology

Travel Nurse RN - Oncology

IMCS GROUP • San Diego, CA, US
Full-time
IMCS GROUP is seeking a travel nurse RN Oncology for a travel nursing job in San Diego, California.Job Description & Requirements. Job Title : Outpatient Clinic Oncology (RN).Shift Timing : 08 : 00 ...Show more
Last updated: 9 days ago • Promoted
Oregon Licensed Nurse Practitioner

Oregon Licensed Nurse Practitioner

VirtualVocations • Chula Vista, California, United States
Full-time
A company is looking for a Nurse Practitioner for a remote position in Oregon.Key Responsibilities Complete comprehensive health assessments for complex patients Manage complex patients to reduc...Show more
Last updated: 30+ days ago • Promoted
Georgia Licensed Clinical Policy Manager

Georgia Licensed Clinical Policy Manager

VirtualVocations • Escondido, California, United States
Full-time
A company is looking for a Manager, Clinical Policy to join their Clinical Policy team.Key Responsibilities Evaluate vendor policy sets for compliance with internal and external medical standards...Show more
Last updated: 18 days ago • Promoted
Washington Licensed Clinical Program Coordinator RN

Washington Licensed Clinical Program Coordinator RN

VirtualVocations • Chula Vista, California, United States
Full-time
A company is looking for a Clinical Program Coordinator RN, Medicare / Medicaid who will provide care coordination and management services for members. Key Responsibilities Provide care coordinati...Show more
Last updated: 30+ days ago • Promoted
Florida Licensed Clinical Specialist

Florida Licensed Clinical Specialist

VirtualVocations • Escondido, California, United States
Full-time
A company is looking for a Clinical Specialist to join their remote team.Key Responsibilities Utilize motivational interviewing techniques to engage patients in services Complete necessary docum...Show more
Last updated: 3 days ago • Promoted
Oregon Licensed Clinical Review Nurse

Oregon Licensed Clinical Review Nurse

VirtualVocations • El Cajon, California, United States
Full-time
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
Last updated: 28 days ago • Promoted
Clinical In-Basket Nurse Specialist

Clinical In-Basket Nurse Specialist

TrueCare • San Marcos, California, United States, 92069
Full-time
Quick Apply
TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. We are committed to making healthcare ac...Show more
Last updated: 30+ days ago • Promoted
New York Licensed Clinical Validation Nurse

New York Licensed Clinical Validation Nurse

VirtualVocations • El Cajon, California, United States
Full-time
A company is looking for a DRG Clinical Validation Nurse.Key Responsibilities : Perform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical reco...Show more
Last updated: 3 days ago • Promoted
Michigan Licensed Utilization Review Nurse

Michigan Licensed Utilization Review Nurse

VirtualVocations • Escondido, California, United States
Full-time
A company is looking for a Michigan Utilization Review Nurse - LPN (100% Remote).Key Responsibilities Perform Utilization Review to determine the medical necessity of services for Michigan Auto N...Show more
Last updated: 30+ days ago • Promoted