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Claims Review Nurse jobs

Viewing 1 - 10 of 12,912 jobs

  • Medical Claims Review Nurse

    Healthcare Scouts - Long Beach, CA

    career opportunity for you as a Medical Claims Review Nurse. This position requires an individual who has ... WHAT WE LOOK FOR: Ideal candidates for the Medical Claims Review Nurse position will bring a minimum of 3 years...

    6 days ago from HealthCare Scouts

  • RN Manager Associate Health & Wellness

    Wheaton Franciscan Healthcare - Milwaukee, WI

    of worker's compensation claims. • Insures completed state-required documentation, incident history, and any related records are submitted to the worker's compensation administrator. • Reviews associate's health record. Identifies data...

    5 days ago from Wheaton Franciscan Healthcare

  • Registered Nurse (RN)/workers Comp Regulatory Occ Health Coordinator

    NCH Healthcare System - Naples, FL

    NCH Work Comp program including reviewing and processing of claims, recommending loss control strategies, ensuring ... to determine compensability for workers’ compensation claims. * Responsible for monitoring employee illness for AHCA...

    8 days ago from NCH Healthcare System

  • Registered Nurse Clinical Documentation Reviewer

    HCA Healthcare - Overland Park, KS

    is to create consistency and efficiency in inpatient claims processing and data collection to optimize DRG ... Qualifications Education: Registered Nurse, Bachelor’s preferred Licensure/Certifications: Current Kansas Nursing Licens...

    30+ days ago from HCA Healthcare

  • Nurse Practitioner Job(61667419928)

    Wexford Health - Hagerstown, MD

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. Wexford ... conditioning. TRAVEL: None LICENSING: Current Maryland Nurse Practitioner license or ability to obtain CERTIFICATION:...

    7 days ago from Wexford Health

  • Nurse Consultant - Commercial Auto - Scottsdale

    Farmers Insurance Group - Phoenix, AZ

    with Claims Representatives and Defense Council on claims issues *Organize, review, and analyze medical records ... *Present medical training and education to claims staff *Review and analyze expert witness reports and depositions...

    11 days ago from Farmers Insurance Group

  • Nurse Claims Manager Advocate

    Cameron Craig Group - Chicago, IL

    complex Workers Compensation needs. The position of Nurse Claims Manager Advocate requires a strong knowledge of the ... Clients on ways to reduce or eliminate their claims, e.g. review of loss histories for trends requiring...

    15 days ago from Cameron Craig Group

  • Claims Investigator (Work from Home)

    HCA Healthcare - Houston, TX

    internet searches (required) * Experience with STARS claims information system (desired) * Working knowledge of ... (required) * Ability to prioritize, handle multiple claims with due dates and time management...

    30+ days ago from HCA Healthcare

  • Nurse Practitioner-Physician Assistant Job(61501687362)

    Wexford Health - Menard, IL

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... This is for a Nurse Practitioner/Physician Assistant at Menard Correctional Center, Menard, IL...

    14 days ago from Wexford Health


    Health Plan of San Mateo - San Mateo, CA

    a full time Utilization Review Nurse to perform utilization/claims reviews with a focus on retrospective reviews. This ... requests/claims documentation within specified timeframes. Review authorization requests/claims for out-of-network...

    17 hours ago from