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Claims Review Nurse jobs

Viewing 1 - 10 of 9,725 jobs

  • QRM Medical Review Manager(319971)

    Kaiser Permanente - Aurora, CO

    • Manages the activities of personnel in the Medical Review and claims department. • Coordinates specialized ... as a Registered Nurse, Nurse Practitioner, Physician Assistant or any other health care related license preferred.

    8 days ago from Kaiser Permanente

  • Health Plan Moms Utilization Reviewer

    Scott & White Healthcare - Temple, TX

    referrals from UM nurses, predictive modeling reporting, claims analysis, etc. Occasional home education visits may be ... criteria Through screening utilization review activity, review of predictive modeling report, claims reports, and upon...

    4 days ago from Scott & White Healthcare

  • Workers Compensation Claims Examiner

    Dart Container - Mason, MI

    standards. * Coordinate appropriate referral of claims for nurse case management services, transportation, translation ... claims, PIP claims, or other disability related claims * At least 2 years applying basic medical terminology...

    5 days ago from Dart Container

  • Medical Bill Review

    Healthcare Scouts - Fort Worth, TX

    expanding your knowledge and skill set? This Registered Nurse (RN) Medical Bill Review position in Fort Worth, TX is ... growth. As a Registered Nurse (RN) Medical Bill Review you will be able to control the cost of claims and...

    15 days ago from HealthCare Scouts

  • Utilization Review Nurse

    Judge Group - Hanover, MD

    community partnerships. Job Description: The Utilization Review RN is responsible for collaborating with healthcare ... in interpreting appropriateness of care and accurate claims payment. Conducts pre-certification, inpatient,...

    17 hours ago from ZipRecruiter

  • Staff Nurse (Revenue Utilization Review)

    U.S. Department of Veterans Affairs - Tampa, FL

    Responsibilities of the RUR (Registered Utilization Review) Nurse include but are not limited to: * Pre-certification, ... evidence of dependability and reliability. VA Nurse Qualifications: Nurse I Level I - An Associate Degree (ADN)...

    1 day ago from U.S. Department of Veterans Affairs

  • Utilozation Review Nurse

    Ladino Talent Management - Los Angeles, CA

    Assignment: All of the claims have gone through adjudication and the provider is now asking for an amended payment/allow ... pre-service, concurrent post-service and retrospective claims medical review. Monitors and oversees the collection...

    6 days ago from FeeTrader, LLC

  • Registered Nurse - External Peer Review Programs (EPRP)

    U.S. Department of Veterans Affairs - Louisville, KY

    10-2850c – Application for Nurse and Nurse Anesthetist (Available at (required). * If ... * 1-Full-Time * 0610-Nurse * Active *

    14 days ago from U.S. Department of Veterans Affairs

  • Utilization Review Coordinator

    Nurse Management - Portland, OR

    management activities ensuring regulatory compliance. The Nurse Case Manager organizes medical management programs ... The Utilization Review Manager / Case Manager is responsible for facilitating patient care objectives, discharge patient...

    1 day ago from

  • Utilization Review RN

    Dignity Health - Rancho Cordova, CA

    TYPE: Full Time HRS PER PAY PERIOD: 80 This position will review medical records, benefit, contractual and other guidelines to determine benefit coverage, medical appropriateness including, access, scope availability, and level of care...

    11 days ago from Jobg8

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