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Claims Review Nurse jobs

Viewing 1 - 10 of 8,924 jobs

  • 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...

    6 days ago from Alliance Solutions Group

  • 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.

    27 days ago from Farmers Insurance Group

  • Assistant Director of Nursing RN

    Masonicare - Wallingford, CT

    Nurse Managers. 9. Works collaboratively with Clinical Nurse Managers to evaluate data and implement change to ... with the Director of Nursing and other Clinical Nurse Managers if needed. 11. Reviews all incident reports for...

    6 days ago from Masonicare

  • Medical Claims Consulting Specialist

    Nationwide Mutual Insurance Company - Harrisburg, PA

    training to claims staff (including claims managers, claims representatives, legal, and special investigative ... related to medical skill building opportunities for the claims staff. Works with Claims and special investigative...

    26 days ago from StartDate Labs

  • Nurse Medical Mgmt I- Inpatient Review 108308

    Anthem - Des Moines, IA

    work that means more to you and those we serve. The Nurse Medical Management I is responsible to collaborate ... services denied. Conducts pre-certification, continued stay review, care coordination, or discharge planning for...

    1 day ago from Anthem

  • Nurse / Manager Job in Great Falls, Montana / Other

    Aureus Medical Group - Great Falls, MT

    billing and charge claims for Residents receiving claims outside of Benefis Senior Care (including both Benefis ... accredited school of nursing.Current Registered Nurse licensure in State of Montana, BSN preferred.Three (3) or more...

    30+ days ago from

  • Claims Adjuster

    Excalibur Staffing - Washington, DC

    (IIPP). Position Functions The Claims Adjuster manages Workers’ Compensation claims using company best practices. The ... coverage and acknowledgment of claims · Determines validity and compensability of claims through investigation and...

    3 days ago from ZipRecruiter

  • RN Supervisor of Retrospective Review

    TRC Staffing Services - Phoenix, AZ

    of Retrospective Review RN Supervisor of Retrospective Review Job Summary This position is responsible for ... Retrospective review staff evaluates records to ensure claims match authorized care, are coded consistent with...

    26 days ago from StartDate Labs


    Health Plan of San Mateo - San Mateo, CA

    time Medical Claims 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...

    30+ days ago from


    Aureus Medical Group - Great Falls, MT

    Tracks billing and charge claims for Residents receiving claims outside of Benefis Senior Care (including both ... of an accredited school of nursing. Current Registered Nurse licensure in State of Montana, BSN preferred. Three...

    30+ days ago from