Talent.com
Oregon Licensed Clinical Review Nurse
Oregon Licensed Clinical Review NurseVirtualVocations • Yonkers, New York, United States
No longer accepting applications
Oregon Licensed Clinical Review Nurse

Oregon Licensed Clinical Review Nurse

VirtualVocations • Yonkers, New York, 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 • Yonkers, New York, United States

Related jobs
Oregon Licensed Clinical Program Coordinator RN

Oregon Licensed Clinical Program Coordinator RN

VirtualVocations • Jackson Heights, New York, 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
Licensed Clinical Reviewer

Licensed Clinical Reviewer

VirtualVocations • Flushing, New York, 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: 2 days ago • Promoted
New York RN Clinical Review Nurse

New York RN Clinical Review Nurse

VirtualVocations • New York, New York, 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 • Flushing, New York, 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
Florida Licensed Nurse Case Manager

Florida Licensed Nurse Case Manager

VirtualVocations • Paterson, New Jersey, 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: 30+ days ago • Promoted
RN Assistant Clinical Service Director

RN Assistant Clinical Service Director

HealthCare Support • New York, NY, US
Full-time
Assistant Clinical Service Director – RN.Assistant Clinical Service Director.In this leadership role, you’ll oversee interdisciplinary teams, support participant outcomes, and serve as ...Show more
Last updated: 22 days ago • Promoted
Florida Licensed Clinical Specialist

Florida Licensed Clinical Specialist

VirtualVocations • Elizabeth, New Jersey, 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
California Licensed Clinical Case Manager

California Licensed Clinical Case Manager

VirtualVocations • Flushing, New York, 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
RN Assistant Clinical Service Director

RN Assistant Clinical Service Director

HealthCare Support • New York, NY, United States
Full-time
Assistant Clinical Service Director – RN.Assistant Clinical Service Director.In this leadership role, you’ll oversee interdisciplinary teams, support participant outcomes, and serve as a key decisi...Show more
Last updated: 13 days ago • Promoted
Clinical Coordinator III-RN (Registered Nurse)

Clinical Coordinator III-RN (Registered Nurse)

Columbia University • New York, NY, United States
Full-time
Job Type : Officer of Administration.Standard Work Schedule : M-F; 9AM-5PM.The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to de...Show more
Last updated: 30+ days ago • Promoted
Licensed Clinical Specialist

Licensed Clinical Specialist

CN Guidance and Counseling Services • Hicksville, NY, USA
Full-time
Quick Apply
Work with the CN Guidance NCTSI Grant to deliver services to youth and their families in certain geographic areas to increase access to trauma- and grief-focused treatment and services for our Long...Show more
Last updated: 30+ days ago
Oregon Licensed Nurse Practitioner

Oregon Licensed Nurse Practitioner

VirtualVocations • Yonkers, New York, 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
Michigan Licensed Utilization Review Nurse

Michigan Licensed Utilization Review Nurse

VirtualVocations • Elizabeth, New Jersey, 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
Local Contract Nurse RN - Clinical Liaison - $50-54 per hour

Local Contract Nurse RN - Clinical Liaison - $50-54 per hour

Host Healthcare • Cortlandt Manor, NY, US
Full-time
Host Healthcare is seeking a local contract nurse RN Clinical Liaison for a local contract nursing job in Cortlandt Manor, New York. Job Description & Requirements Specialty : Clinical Liaison Discip...Show more
Last updated: 5 days ago • Promoted
State Licensed Clinical Audit Lead

State Licensed Clinical Audit Lead

VirtualVocations • Elizabeth, New Jersey, 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 - Clinical Liaison - $2,201 per week

Travel Nurse RN - Clinical Liaison - $2,201 per week

Host Healthcare • Cortlandt Manor, NY, US
Full-time
Host Healthcare is seeking a travel nurse RN Clinical Liaison for a travel nursing job in Cortlandt Manor, New York.Job Description & Requirements Specialty : Clinical Liaison Discipline : RN Start D...Show more
Last updated: 5 days ago • Promoted
Georgia Licensed Clinical Policy Manager

Georgia Licensed Clinical Policy Manager

VirtualVocations • Flushing, New York, 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
RN Clinical Review Manager

RN Clinical Review Manager

VirtualVocations • Newark, New Jersey, 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
New York Licensed Clinical Validation Nurse

New York Licensed Clinical Validation Nurse

VirtualVocations • Jamaica, New York, 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
Texas Licensed Case Manager Nurse

Texas Licensed Case Manager Nurse

VirtualVocations • Jamaica, New York, 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