Trauma Clinical Reviewer (Trauma Registrar) Children's Hospital of The King's DaughtersTrauma Clinical Reviewer (Trauma Registrar)Norfolk, VALICENSES AND/OR CERTIFICATIONS Required Licenses and/or Certifications Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State license required. GENERAL SUMMARY In conjunction with the Trauma Program Manager and Trauma PI Coordinator, the Trauma Clinical Reviewer is responsible for collecting, correlating, analyzing and inputting data from properly identified trauma patients.
Clinical Reviewer HireTalentClinical ReviewerMcLean, VARemoteAssesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department. Position is Remote HOWEVER Candidates MUST Reside in California and they need to have an active California license as a LCSW OR LMFT OR LPCC OR Licensed Social Worker.
Clinical Reviewer Psychiatry Maximus Federal & VESClinical Reviewer PsychiatryMcLean, VARemoteThe Social Security Administration (SSA), Office of Hearings Operations (OHO), is seeking Medical Experts (MEs) to provide professional medical opinion and testimony in administrative hearings before an Administrative Law Judge (ALJ). If you’re interested in applying your clinical expertise in a meaningful, flexible capacity supporting federal disability determinations, we encourage you to apply.
NewClinical Insurance Reviewer US Oncology IncClinical Insurance ReviewerNorfolk, VACookies are used on this site to assist in continually improving the candidate experience and all the interaction data we store of our visitors is anonymous. We're sorry, but it looks like this job may be no longer available or does not exist.
NewClinical Insurance Reviewer Regional Business Office (MIDA)Clinical Insurance ReviewerNorfolk, VirginiaRemote$23–$26 / hourWe extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear.
NewNurse Practitioner (NP) – Occupational Health Medical Reviewer CetechsNurse Practitioner (NP) – Occupational Health Medical ReviewerSpringield, VARemoteFull timeActive, unrestricted Nurse Practitioner license in Virginia (or ability to obtain prior to start). This position is fully remote after onboarding and focuses on occupational health case review rather than direct patient care.
NewPsychologist Reviewer Senior - ABA Elevance Health IncPsychologist Reviewer Senior - ABANorfolk, VA$107,280–$185,058 / yearD in clinical/counseling psychology and minimum of 5 years of experience in a Behavioral Health/Clinical setting and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education and experience, which would provide an equivalent background. Mentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in developing a program around psychological and neuropsychological testing.
HSCRC Coding Reviewer DOMA TechnologiesHSCRC Coding ReviewerVIRGINIA BEACH, VARemote$40–$45 / hour5 years of relevant experience performing complex coding; quality assurance, training, appeals, and/or auditing services involving ICD-10-CM/PCS, CPT/HCPCS, DRG/APRDRG, and/or other coding, classification, and/or payment systems pertinent in the healthcare industry, including but not limited to, State of Maryland, in particular. The HSCRC Coding Reviewer will be a subject matter expert in clinical documentation review, clinical data abstraction, clinical coding, auditing, and variables impacting HSCRC payment methodologies that are based in medical record documentation.
Infectious Disease Reviewer Maximus Federal & VESInfectious Disease ReviewerMcLean, VARemote$150–$400Maximus Federal is seeking a Board-Certified Infectious Disease Physician to support the California Department of Managed Healthcare (DMHC) as an Independent Medical Reviewer. Your clinical expertise helps ensure fairness in healthcare decision making for California enrollees.
NewPsychologist Reviewer - ABA Elevance Health IncPsychologist Reviewer - ABANorfolk, VA$93,120–$160,632 / yearMentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in developing a program around psychological and neuropsychological testing. D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education and experience, which would provide an equivalent background.
NewRegistered Nurse (Occupational Health Medical Reviewer) CetechsRegistered Nurse (Occupational Health Medical Reviewer)Springield, VARemoteFull timeCetechs is seeking experienced Registered Nurses (RNs) to support the Transportation Security Administration (TSA) Candidate Assessment and Review for Eligibility Support (CARES) program. Active, unrestricted Registered Nurse (RN) license in Virginia (or ability to obtain prior to start).
Clinical Investigator - Family Medicine (F75880) VCU Health - MCV PhysiciansClinical Investigator - Family Medicine (F75880)Richmond, VAPreference will be given to candidates who can effectively engage with our current faculty in several research projects that are funded and underway; as well as those who can quickly understand and grasp the unique challenges of working with a Practiced Based Research Network (PBRN). We seek an Open Rank, tenure-eligible faculty investigator with responsibility for the design, development, execution, and dissemination of research on primary care and social determinants of health through externally funded competitive research grants and contracts.
Clinical Investigator | Family Medicine | School of Medicine | (F75880) Commonwealth of VirginiaClinical Investigator | Family Medicine | School of Medicine | (F75880)Richmond, VAPreference will be given to candidates who can effectively engage with our current faculty in several research projects that are funded and underway, as well as those who can quickly understand and grasp the unique challenges of working with a Practiced-Based Research Network (PBRN). We seek an Open Rank, tenure-eligible faculty investigator with responsibility for the design, development, execution, and dissemination of research on primary care and social determinants of health through externally funded, competitive research grants and contracts.
Nurse Care Manager I Elevance Health IncNurse Care Manager IRichmond, VARequires 3 years full-time equivalent of direct clinical care experience to the consumer, 5 years full-time equivalent of direct clinical care experience to the consumer preferred or any combination of education and experience, which would provide an equivalent background, Multi-state licensure is required if this individual is providing services in multiple states. How you will make an impact: Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions and extensions of stay, outpatient services, out of network services, and appropriateness of treatment setting and level of care.
NewPBR Blue Ridge Cancer CarePBRRoanoke, Virginia$15.69–$24.14 / hourWhile performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is regarded as an expert in the technical/functional area; accesses and uses other expert resources when appropriate.
Medical Physicist | Radiation Oncology | SOM |M89670 Virginia Commonwealth UniversityMedical Physicist | Radiation Oncology | SOM |M89670Richmond, VAThe mission of the Medical Physics division is to provide exemplary radiation therapy to patients through high-quality clinical services and advanced technologies, investigation and implementation of improved treatment planning and delivery methods, research programs designed to improve the efficiency and efficacy of radiation therapy, and clinical trials to assess the clinical advantages of radiation therapy treatment modalities. The successful candidate will provide clinical radiation therapy services using state-of-the-art radiotherapy that includes: IMRT, VMAT, SBRT, SRS, IGRT, and HDR brachytherapy programs.
Medical Physicist (M89670) VCU Health - MCV PhysiciansMedical Physicist (M89670)Richmond, VAThe service provides over 400 new treatment plans a year and these include IMRT, SRS, 3D conformal, 4D, SBRT, and IGRT using Eclipse.?Resources include two TrueBeams, with 6DF couchs, optical surface monitoring, a Siemens Large Bore CT Simulator, prostate brachytherapy using Bravos HDR.? The successful candidate will provide clinical radiation therapy services using state-of-the-art radiotherapy that includes: IMRT, VMAT, SBRT, SRS, IGRT, and HDR brachytherapy programs.
Medical Physicist | Radiation Oncology | SOM |M89670 Commonwealth of VirginiaMedical Physicist | Radiation Oncology | SOM |M89670Richmond, VA$60,000–$100,000 / yearblocks--linked-image#click keydown.enter->blocks--linked-image#click" data-controller="" data-open-newtab="false" id="page_block_c450c5f005504fd48a5539c122784277" style="background-image: linear-gradient(rgba(0, 0, 0, 0.5),rgba(0, 0, 0, 0.5)), url(" https://d25wby5c7p9100.cloudfront.net/public/uploads/599e9569ce634cc6f690338b21af637e/images/files/b11c644db1e4b7c02146bb405507b1a2/large/mountainview.jpg?1674243607");background-position : 50% 50%" title="Virginia Mountain View">. The mission of the Medical Physics division is to provide exemplary radiation therapy to patients through high-quality clinical services and advanced technologies, investigation and implementation of improved treatment planning and delivery methods, research programs designed to improve the efficiency and efficacy of radiation therapy, and clinical trials to assess the clinical advantages of radiation therapy treatment modalities.