Tennessee and Missouri RN Clinical Review Coordinator
VirtualVocationsOlympia, Washington, United States2 days ago
Job type
- Full-time
Job description
A company is looking for a LOS Clinical Review Coordinator for TN and MO.
Key Responsibilities
Request and review member's clinical information from providers
Perform utilization review of inpatient cases using Interqual Criteria and update authorizations promptly
Collaborate with providers for discharge planning and evaluate ongoing member needs
Required Qualifications
Active and unrestricted RN License
3+ years of clinical experience in an inpatient / acute setting
Experience in discharge planning and / or chart review
Proficient computer skills
Dedicated work area with high-speed internet connection
Create a job alert for this search
Rn Missouri Clinical • Olympia, Washington, United States
Related jobs A company is looking for a Clinical Appeals Coordinator.Key Responsibilities Act as the liaison for statewide appeals, ensuring compliance with State and NCQA requirements Review clinical inform...Show moreLast updated: 1 day ago A company is looking for a Clinical Government Audit Analyst & Appeal Specialist II (Remote).Key Responsibilities Conduct thorough analyses of denials and ensure accurate coding while identifying...Show moreLast updated: 1 day ago 
The Supervisor position reports to the Manager, Case Management and is responsible for the direct supervision of the assigned Case Managers, Coordinators, and Case Management Associates.Supervision...Show moreLast updated: 1 day 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: 23 hours ago A company is looking for a Clinical Coordinator.Key Responsibilities Ensure the integrity of clinical data in the clinical database and files Support EDC and paper-based studies while working on...Show moreLast updated: 30+ days ago A company is looking for a Physician & APP Credentialing Coordinator (Remote).Key Responsibilities Evaluates and processes applications for credentialing, ensuring completeness and compliance wit...Show moreLast updated: 30+ days ago A company is looking for a Senior Clinical Administrative Coordinator.Key Responsibilities Make calls to qualified members to provide information and answer questions about health plan programs ...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 Manager, Vendor Clinical Policy to join their Clinical Policy team.Key Responsibilities Evaluate vendor policy sets to ensure compliance with internal and external medi...Show moreLast updated: 2 days ago A company is looking for a Senior Clinical Research Coordinator (Oncology).Key Responsibilities Implement and monitor clinical trials and research projects, ensuring compliance with protocol and ...Show moreLast updated: 7 hours ago A company is looking for a Clinical Peer Review RN Coordinator (Performance Improvement).Key Responsibilities Coordinate and manage peer review processes with precision and discretion Serve as a...Show moreLast updated: 17 hours 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: 21 hours ago A company is looking for a Medical Review Clinical QA Auditor (RN) - Home Health & Hospice.Key Responsibilities : Conduct quality assurance reviews on medical review audit work to ensure accuracy ...Show moreLast updated: 2 days ago A company is looking for a RN Clinical Navigator to support doctors and patients in a remote healthcare setting.Key Responsibilities Manage communications and documentation between patients and d...Show moreLast updated: 15 hours ago A company is looking for a Utilization Review Coordinator, Lead.Key Responsibilities Serve as a liaison among physician, nursing staff, and ancillary departments to facilitate patient processing ...Show moreLast updated: 15 hours ago A company is looking for a Manager, Clinical Navigation.Key Responsibilities Lead and develop a team of Clinical Navigators to enhance patient engagement and outcomes Oversee daily operations of...Show moreLast updated: 1 day ago A company is looking for a Clinical Documentation Improvement Specialist 2nd Level Reviewer (Remote).Key Responsibilities Conduct detailed reviews of medical records and physician documentation f...Show moreLast updated: 17 hours ago 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: 1 day ago
- Promoted
Texas Licensed Clinical Appeals Coordinator
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
Clinical Audit Analyst II - RN Licensed
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
RN Supervisor - Care Management
Providence Health and ServicesOlympia, WA, USFull-time
- Promoted
Tennessee Licensed Senior Medical Reviewer
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
Clinical Coordinator
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
Credentialing Coordinator
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
Senior Clinical Coordinator
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
Licensed Physical Therapy Reviewer
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
Texas Licensed Clinical Policy Manager
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
- New!
State Licensed Senior Clinical Research Coordinator
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
- New!
Oregon Licensed Clinical Peer Review RN
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
- New!
Virginia Licensed Lead Clinical Reviewer
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
RN Clinical QA Auditor
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
- New!
RN Clinical Navigator
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
- New!
Missouri Licensed Utilization Review Lead
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
TX and GA Licensed Clinical Manager
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
- New!
CDI Specialist 2nd Level Reviewer
VirtualVocationsOlympia, Washington, United StatesFull-time
- Promoted
Texas Licensed Clinical Abstract RN
VirtualVocationsOlympia, Washington, United StatesFull-time