Missouri Licensed Clinical Review NurseVirtualVocations • Orlando, Florida, United States
[error_messages.no_longer_accepting]
Missouri Licensed Clinical Review Nurse
VirtualVocations • Orlando, Florida, United States
[job_card.30_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a Clinical Review Nurse - Retrospective Review.
Key Responsibilities
Conducts clinical retrospective reviews of medical records to assess the appropriateness of care and services provided
Identifies quality of care issues and consults with senior management and healthcare providers on discrepancies
Maintains compliance with regulatory guidelines by documenting member clinical information in health management systems
Required Qualifications, Training, and Education
Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing
2 - 4 years of related experience in clinical review or utilization management
Knowledge of Medicare and Medicaid regulations preferred
Knowledge of utilization management processes preferred
LPN - Licensed Practical Nurse - State Licensure required
[job_alerts.create_a_job]
Clinical Review Nurse • Orlando, Florida, United States
[internal_linking.similar_jobs] A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to determine member's overall health and appropriate level of care Reviews q...[show_more] A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to assess member health and appropriate level of care Reviews quality and co...[show_more] A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Perform concurrent reviews to determine members' overall health and appropriate level of care Review qua...[show_more] A company is looking for a Call Center Triage Nurse (Remote).Key Responsibilities Triage patients via walk-ins and phone calls, and follow up with physicians and patients Perform general nursing...[show_more] A company is looking for a Disease Management Nurse-Full-Time.Key Responsibilities Coordinate member outreach for health promotion and restoration Create and implement individualized care plans ...[show_more] 
This is a 100% on-site role located at our office in Maitland, Florida.We are empowering the fight against incurable diseases.
SiteRx strives to give patients hope.Today, the "best" option...[show_more] A company is looking for a Clinical Review Specialist to evaluate hospitalizations and perform clinical case reviews.Key Responsibilities Perform retrospective medical necessity reviews to assess...[show_more] A company is looking for a Care Manager, Registered Nurse.Key Responsibilities Engage with members telephonically to coordinate their care and develop individualized care plans Provide disease m...[show_more] A company is looking for a Clinical Supervisor - RN.Key Responsibilities Supervise day-to-day activities of nurse reviewers and ensure contract deliverables are met Assess and manage daily workl...[show_more] A company is looking for a Clinical Nurse Case Disease Management.Key Responsibilities Conducts member assessments and develops individualized care plans Monitors the effectiveness of care plans...[show_more] A company is looking for a Clinical Triage Nurse, RN.Key Responsibilities Assess patient symptoms and provide appropriate medical advice during inbound sick calls Review clinical test results an...[show_more] A company is looking for a Clinical Review Nurse - Prior Authorization.Key Responsibilities Analyze prior authorization requests to determine medical necessity and appropriate level of care Coor...[show_more] A company is looking for an RN-Specialty (Non-Exempt).Key Responsibilities Provide professional nursing care to patients in support of physicians Assist physicians in patient treatment and compl...[show_more] A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to determine member's overall health and appropriate level of care Reviews q...[show_more] 
GLC On-The-Go is seeking a travel nurse RN Long Term Care (LTC) Long Term Care for a travel nursing job in Orlando, Florida.
Job Description & Requirements.Must have FL RN License or compact Lic...[show_more] A company is looking for a TeleQuality RN (qRN) to provide quality support and data collection for critically ill patients in a virtual care setting.
Key Responsibilities Provide quality support a...[show_more] A company is looking for a Non-Clinical Liaison to join their team.Key Responsibilities Conduct clinical reviews of patients referred for home infusion therapy to ensure timely care Develop and ...[show_more] 
First Connect Health is seeking a local contract nurse RN CVOR for a local contract nursing job in Sanford, Florida.Job Description & Requirements.
HCA Florida Lake Monroe Hospital.Call ...[show_more]
Indiana Licensed Clinical Review Nurse
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Iowa Licensed Clinical Review Nurse
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Florida Licensed Concurrent Review Nurse
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Illinois Licensed Triage Nurse
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
State Licensed Disease Management Nurse
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Patient Liaison
SiteRx • Orlando, FL, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
State Licensed Clinical Review Specialist
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Ohio Licensed Care Manager RN
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
New York Licensed Clinical Supervisor - RN
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Missouri and Kansas Licensed Clinical Nurse
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Multistate Licensed Clinical Triage Nurse
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
California Licensed Clinical Review Nurse
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Missouri Licensed RN-Specialty
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
New York Licensed Clinical Review Nurse
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_30]
Travel Nurse RN - Long Term Care (LTC) Long Term Care
GLC On-The-Go • Orlando, FL, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Missouri Licensed TeleQuality RN
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_1_day]
Massachusetts Licensed Non-Clinical Liaison
VirtualVocations • Orlando, Florida, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Local Contract Nurse RN - CVOR
First Connect Health • Sanford, FL, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]