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Claims Review Nurse jobs

Viewing 1 - 10 of 9,689 jobs

  • Senior Workers Comp Claims Adjuster

    Dart Container - Onondaga, MI

    claim; (2) coordinating appropriate referral of claims for nurse case management services, transportation, translation ... review meetings. * Assist in compilation and analysis of claims data for various internal and external reporting. *...

    4 days ago from Dart Container

  • Workers Compensation Claims Manager

    Dart Container - Dimondale, MI

    * Perform quality assurance reviews of current claims to ensure compliance by adjusters with all program ... claims. * Participate in all professional conferences, claims and management training (both internal and external)...

    4 days ago from Dart Container

  • Quality Clinical Documentation Improvement RN

    Dignity Health Medical Foundation - Rancho Cordova, CA

    (QCDI) RN is responsible for performing a comprehensive review of ambulatory medical records to confirm ... provider documentation, provide education to providers, and review trends of assigned providers or medical groups.

    22 days ago from Dignity Health Medical Foundation

  • Bilingual Clinical Nurse Coordinator

    Alliance Solutions Group - Twinsburg, OH

    POSITION PURPOSE: The Clinical Nurse Care Coordinator is responsible for supporting the clinical functions of the company in accordance with the company's policies and practices. This position will be responsible for performing...

    12 days ago from Alliance Solutions Group

  • RN Workers’ Compensation Case Manager Associate Wellness FT PC18504

    Health First - Melbourne, FL

    appropriate to resolution. The Workers’ Compensation Nurse Case Manager coordinates resources and creates flexible, ... conclusion all medical only and lost time claims with a keen emphasis on getting injured employees back to work as soon...

    4 hours ago from Health First

  • RN Manager, Utilization Management

    Dignity Health - Redlands, CA

    including the sections for authorizations and concurrent review. Develops and implements effective and efficient ... care (5+ years experience preferred). Clinical claims review experience highly desired. - BSN/BS/BA and/or Masters...

    24 days ago from Dignity Health

  • Case Manager, RN – Appeals & Denials (Northwest District) - Kindred Hospital

    Kindred Healthcare - Westminster, CA

    Licenses/Certification: Healthcare professional licensure required as Registered Nurse ... in Case Management, Quality Management, Utilization Review, or discharge planning. If you are a current...

    30+ days ago from Kindred Healthcare

  • Claim Rep, Liability

    Travelers - Naperville, IL

    for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, ... in claims handling. Advanced level knowledge and skill in claims and litigation. Basic working level knowledge and...

    9 days ago from CareerBuilder

  • Legal Nurse Consultant

    Farmers Insurance Group - Washington

    and mediation proceeding as called upon to support claims professionals. Assists with the review of plaintiff ... Respond to claims request for training as needed. Assist claims handler in projecting medical cost for claims.

    2 days ago from Farmers Insurance Group

  • Claims & Risk Management Administrator

    Transervice Logistics - Lake Success, NY

    professionals, brokers, attorneys, doctors and nurses Review, analyze processes, procedures and workflows to ... 2 years experience in risk management, insurance and/or claims environment Preparation of internal and external...

    30+ days ago from Doostang