Talent.com
No longer accepting applications
Virginia Licensed Clinical Reviewer

Virginia Licensed Clinical Reviewer

VirtualVocationsTallahassee, Florida, United States
1 day ago
Job type
  • Full-time
Job description

A company is looking for a Lead Clinical Reviewer.

Key Responsibilities

Review medical records against criteria to determine medical appropriateness

Guide team members and support training and documentation efforts

Perform quality monitoring and audits to identify areas for improvement

Required Qualifications

Active and unrestricted Licensed Clinical Social Worker (LCSW) license for the state of Virginia

Master's degree from an accredited college in a relevant degree program

2+ years of experience in Prior Authorization, Utilization Review (UR), or Utilization Management (UM)

Create a job alert for this search

Clinical Reviewer • Tallahassee, Florida, United States

Related jobs
  • Promoted
RN / Clinical Nurse AC - Vascular Access

RN / Clinical Nurse AC - Vascular Access

Tallahassee MemorialTallahassee, FL, US
Full-time
Tallahassee Memorial HealthCare (TMH) is a private, nonprofit community-based healthcare system that provides advanced care to a 21-county region in North Florida and South Georgia.We are a career ...Show moreLast updated: 4 days ago
  • Promoted
RN / Clinical Nurse - Family Medicine Residency

RN / Clinical Nurse - Family Medicine Residency

Tallahassee MemorialTallahassee, FL, United States
Full-time
Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia.We are a career destinati...Show moreLast updated: 30+ days ago
  • Promoted
RN Case Manager

RN Case Manager

HCA Florida Capital HospitalQuincy, FL, US
Full-time +1
Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31. HCA Florida Capital Hospital have the opportunity to make a real impact....Show moreLast updated: 30+ days ago
Case Manager RN

Case Manager RN

Texas Nursing ServicesTallahassee, FL, US
Full-time
Quick Apply
Case Manager RN – Tallahassee, FL Location : .Tallahassee, FL Schedule : Full-Time – Day Shift (8 : 00 AM–4 : 30 PM) or Evening Shift (12 : 00 PM–8 : 30 PM) Weekend Requirement : 1 week...Show moreLast updated: 30+ days ago
  • Promoted
RN Free Standing ER Southwood

RN Free Standing ER Southwood

HCA Florida Capital HospitalQuincy, FL, US
Full-time +1
Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients.At HCA Florida Capital Hospital our nurses set us apart from any other healthcare...Show moreLast updated: 30+ days ago
  • Promoted
Entry Level Sales Representative

Entry Level Sales Representative

Leaf HomeMonticello, FL, US
Full-time
Leaf Filter Gutters and Gutters protection.Outside Sales Consultant- $75k-$150K PLUS.No cold calling- no sweepstake giveaway- real people confirming your leads. Are you tired of cold calling looking...Show moreLast updated: 30+ days ago
  • Promoted
RN Same Day Surgery

RN Same Day Surgery

HCA Florida Capital HospitalQuincy, FL, US
Full-time
Do you have the career opportunities as a RN Same Day Surgery you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your c...Show moreLast updated: 3 days ago
  • Promoted
Clinical Nurse Leader (RN) - All Areas

Clinical Nurse Leader (RN) - All Areas

UVA HealthTallahassee, FL, US
Full-time
RELOCATE TO VIRGINIA OPPORTUNITY.Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research, comprehensive training, and compassionate care.U...Show moreLast updated: 2 days ago
  • Promoted
Clinical Manager

Clinical Manager

NHC HealthCare ColumbiaTallahassee, FL, US
Full-time
The Clinical Manager / Director of Nursing is a Registered Nurse who manages and directs all patient care services and personnel in the HomeCare agency. NHC HomeCare Tallahassee is looking for a Clini...Show moreLast updated: 30+ days ago
  • Promoted
RN Case Manager Part Time

RN Case Manager Part Time

HCA Florida Capital HospitalQuincy, FL, US
Full-time +1
This role has a Saturday, Sunday, Monday.Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity.We care like family! ...Show moreLast updated: 30+ days ago
  • Promoted
Hospital Laboratory Director

Hospital Laboratory Director

HCA Florida Capital HospitalQuincy, FL, United States
Full-time +1
This position is incentive eligible.Do you have the career opportunities as a Hospital Laboratory Director you want with your current employer? We have an exciting opportunity for you to join.Addre...Show moreLast updated: 4 days ago
  • Promoted
Online Product Reviewer (Hiring Immediately)

Online Product Reviewer (Hiring Immediately)

Product Review JobsGRETNA, FL, United States
Full-time
Compensation : Varies per assignment.Thank you for your interest in becoming a Paid Product Tester.This opportunity is for completing market research opportunities with independent brands via online...Show moreLast updated: 30+ days ago
  • Promoted
Influencer Product Reviewer (Hiring Immediately)

Influencer Product Reviewer (Hiring Immediately)

Product Review JobsSAINT MARKS, FL, United States
Full-time
Compensation : Varies per assignment.Thank you for your interest in becoming a Paid Product Tester.This opportunity is for completing market research opportunities with independent brands via online...Show moreLast updated: 30+ days ago
  • Promoted
ENDOSCOPY Clinical Specialist, ESD (Des Moines / Iowa)

ENDOSCOPY Clinical Specialist, ESD (Des Moines / Iowa)

FUJIFILM CorporationTallahassee, FL, United States
Full-time
The purpose of this role is to provide customer support of Fujifilm ES equipment in the Endoscopy department and / or specified departments by managing all relevant equipment, providing basic trouble...Show moreLast updated: 9 days ago
  • Promoted
RN IMCU

RN IMCU

HCA Florida Capital HospitalQuincy, FL, US
Full-time +1
Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients.At HCA Florida Capital Hospital our nurses set us apart from any other healthcare...Show moreLast updated: 30+ days ago
  • Promoted
Independent Product Reviewer (Hiring Immediately)

Independent Product Reviewer (Hiring Immediately)

Product Review JobsTELOGIA, FL, United States
Full-time
Compensation : Varies per assignment.Thank you for your interest in becoming a Paid Product Tester.This opportunity is for completing market research opportunities with independent brands via online...Show moreLast updated: 30+ days ago
$120 / eval- In Hosford, Florida - Physical Therapist(DPT,PT,RPT) : in a home setting

$120 / eval- In Hosford, Florida - Physical Therapist(DPT,PT,RPT) : in a home setting

Sobe Innovative RehabHosford, FL, USA
Full-time
Quick Apply
In Hosford, Florida to provide treatment in a home setting : $120 / eval.We are an outpatient therapy clinic seeking passionate therapists to deliver top-notch therapy and results for our geriatric cl...Show moreLast updated: 30+ days ago
  • Promoted
Registered Nurse (RN) / Clinical Nurse AC - IP Renal Dialysis

Registered Nurse (RN) / Clinical Nurse AC - IP Renal Dialysis

Tallahassee MemorialTallahassee, FL, United States
Full-time
Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia.We are a career destinati...Show moreLast updated: 30+ days ago
  • Promoted
ENDOSCOPY Clinical Specialist, ESD (Kansas City, Missouri)

ENDOSCOPY Clinical Specialist, ESD (Kansas City, Missouri)

FUJIFILM CorporationTallahassee, FL, United States
Full-time
The purpose of this role is to provide customer support of Fujifilm ES equipment in the Endoscopy department and / or specified departments by managing all relevant equipment, providing basic trouble...Show moreLast updated: 9 days ago
  • Promoted
Virtual Product Review Specialist (Hiring Immediately)

Virtual Product Review Specialist (Hiring Immediately)

Product Review JobsHOSFORD, FL, United States
Full-time
Compensation : Varies per assignment.Thank you for your interest in becoming a Paid Product Tester.This opportunity is for completing market research opportunities with independent brands via online...Show moreLast updated: 30+ days ago