RichmondVARecruiter
the smart solution for Richmond jobs

RN/LPN -Clinical Reviewer

Company: All Medical Personnel, LLC
Location: Richmond
Posted on: September 16, 2018

Job Description:

Clinical Care Specialist/Staff Nurse opening in Richmond, Virginia. This and other rn jobs brought to you by NursingJobCafe.com Position: RN Clinical Review NurseLocation: Henrico, VADuration: Full-timeJob Info

  • Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services
  • Determines approval or initiates a referral to the physician consultant and processes physician consultant decisions ensuring reason for the denial is described in sufficient detail on correspondence
  • Abstracts review related data/information accurately and timely on appropriate review tool by the appropriate means. Accurate and timely submission of all administrative and review related documents to appropriate parties
  • Performs ongoing reassessment of review process to offer opportunities for improvement and/or change
  • Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process
  • Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for reviewRequirements
    • Active, unrestricted state RN license
    • Graduation from an accredited Diploma, Associates or Bachelor's degree program
    • Minimum two years of clinical experience in an acute or med-surgical environment
    • Minimum of one year UR and/or Prior Authorization or related experience preferred
    • Knowledge of InterQual criteria strongly preferred
    • Knowledge of current NCQA/URAC standards strongly preferredBenefits
      • Competitive salary commensurate with experience
      • Medical/Dental
      • Weekly Pay
      • Direct Deposit
      • Referral Bonuses
      • Childcare reimbursementFor immediate consideration please create a profile and submit your resume through our applicant tracking system. Applications with attached resumes will be given first consideration. Visit us online at to learn more about our company and to view additional openings in your area.About Us: All Medical Personnel is a national leader in healthcare staffing and recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms. Our team of seasoned recruiters are experienced in their ability to recruit, screen and place medical professionals for all types of healthcare settings. Keyphrases: clinical nurse specialist jobs, clinical specialist jobs, nursing jobs, nurse jobs, clinical service specialist jobs, nursing specialist jobs, patient care specialist jobs, certified nursing jobs, clinical nursing jobs, patient service jobs, patient service specialist jobs, staff nurse jobs, clinical care specialist jobs, clinical nursing specialist jobs, staff nursing jobs

        Keywords: All Medical Personnel, LLC, Richmond , RN/LPN -Clinical Reviewer, Healthcare , Richmond, Virginia

        Click here to apply!

        Didn't find what you're looking for? Search again!


        I'm looking for
        in category
        within


Other Healthcare Jobs


Certified Nursing Assistant - CNA
Description: HCR ManorCare provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care,
Company: HCR ManorCare
Location: Richmond
Posted on: 09/22/2018

Ed Clinical Nurse Specialist
Description: An Emergency Room Nurse Educator is needed to help guide one of the DC/Baltimore region rsquo s top hospitals. br The hospital is looking to bring on Emergency Room Nurse Educator to develop and administer (more...)
Company: Clinical Nurse Specialist
Location: Lanham
Posted on: 09/22/2018

Certified Nursing Assistant (CNA) Med/Surg Trauma Telemetry Unit
Description: See why our employees love working at Chippenham Hospital As one of the largest facilities in the nations largest hospital system HCA , Chippenham Hospital provides the full scope of healthcare services. (more...)
Company: CJW Medical Center HCA Healthcare
Location: Richmond
Posted on: 09/22/2018


Bonus up to $20K-Experienced Emergency Department RN
Description: Description : Augusta Health Hospital is hiring a Registered Nurse RN for the Emergency Department. Eligible for up to a 20,000 Sign on Bonus br The RN provides
Company: Augusta Health
Location: Charlottesville
Posted on: 09/22/2018

Hospitalist in VA - Locums: Locums Hospitalist Opportunity in Virginia
Description: Hospitalist opening in Lynchburg, Virginia. This and other physician jobs brought to you by DocCafe.com A Virginia facility seeks a hospitalist for ongoing
Company: CompHealth
Location: Lynchburg
Posted on: 09/22/2018

Earn 800-1200 Weekly as a Health Rep working from Home.
Description: Comprehensive full training is provided and an excellent
Company: Jumpstart consult
Location: Alexandria
Posted on: 09/22/2018

Occupational Therapist - 1 Year Experience Required (Germantown,MD)
Description: Of all the Healthcare Professional specialties we offer, Occupational Therapist are one of the specialties that have the most difference between staffing agencies in job / travel assignment locations (more...)
Company: HealthCare Traveler Jobs
Location: Germantown
Posted on: 09/22/2018

NURSE PRACTITIONER C
Description: Inova Cares Clinic for Children, a service of Inova Health System, was established in 1993 as a response to the inability of uninsured or Medicaid mothers to secure an affordable medical home for their (more...)
Company: Inova
Location: Falls Church
Posted on: 09/22/2018

Travel RN-Dialysis Nurse - Acute Dialysis Travel RN needed in Washingt
Description: An acute dialysis program in the beautiful state of Washington, DC is in need of an experienced dialysis nurse. Applicants should have a DC License and at least one year of dialysis experience
Company: Foundation Medical Staffing
Location: Washington
Posted on: 09/22/2018

Lecturer in the School of Community and Environmental Health
Description: Lecturer in the School of Community and Environmental Health br Old Dominion University, Norfolk VA. br br Old Dominion University invites application for a 10-month full-time, non-tenured lecturer (more...)
Company: ODU Human Resources
Location: Norfolk
Posted on: 09/22/2018

Log In or Create An Account


Find us on Facebook

Find us on LinkedIn

Get the latest Virginia jobs by following @recnetVA on Twitter!

Richmond RSS job feeds