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Claims Review Nurse jobs

Viewing 1 - 10 of 380 jobs

  • Nurse Practitioner-Physician Assistant

    Wexford - Galesburg, IL

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

    11 hours ago from Wexford Health

  • RN Case Manager

    HCA Healthcare - Tallahassee, FL

    Provide Athletic Training Services to student athletes under the direction of the team physician or by written referral from a physician, and in accordance with state athletic training practice act. • Maintain appropriate general treatment...

    5 hours ago from HCA Healthcare

  • RN (Utilization Management) Non-VA Care Coordination

    U.S. Department of Veterans Affairs - Loma Linda, CA

    The duties and responsibilities of the UM/NVCC Nurse with specific role functions include, but is not limited to applyin ... and unrestricted registration as a graduate professional nurse in a State, Territory, or Commonwealth of the U.S. or...

    18 hours ago from U.S. Department of Veterans Affairs

  • RN Oncology PRN

    HCA Healthcare - Dallas, TX

    Review high charge stays/procedures for charging accuracy ... EXPERIENCE • Healthcare experience required CERTIFICATE/LICENSE: • Current State of FL licensure as a Registered Nurse o...

    5 hours ago from HCA Healthcare

  • 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.

    5 hours ago from Nurse.com

  • Referral Services II, RN

    Brown and Toland - San Francisco, CA

    Perform Utilization Review activities prospectively or post-service (retrospective) for elective/urgent hospital admissi ... support staff regarding Utilization Review Activities. Review authorization requests to assure that the provider...

    20 hours ago from Nurse.com

  • RN Nursery PRN

    HCA Healthcare - Lafayette, LA

    GENERAL SUMMARY OF DUTIES – Processes claims electronically to insurance carriers. Mails claims to carriers when ... basis. This applies to all untransmitted pending claims. • Communicates daily information needed for billing to the...

    5 hours ago from HCA Healthcare

  • Nurse Case Manager-Workers Compensation-Work From Home

    Nurse Resolutions - Princeton, WV

    Work From Home! -Field Case Manager JOB SUMMARY: A nurse liaison who communicates pertinent medical information ... accidents, liability claims, long and short term disability claims or other specialized service requested by the...

    20 hours ago from ZipRecruiter

  • Oncology Care Coordinator

    Nurse Management - Los Angeles, CA

    management activities ensuring regulatory compliance. The Nurse Case Manager organizes medical management programs ... collaborate with physicians in patient care and utilization review management. The Non-Profit Healthcare System is a...

    4 hours ago from NurseManagement.com

  • RN / Review Analyst

    A-line Staffing Solutions - Detroit, MI

    currently staffing for Registered Nurses with Utilization Review experience for a large healthcare insurance company ... and Interqual experience preferred Key Words: RN, Registered nurse, chart review, utilization review, prior...

    14 hours ago from ZipRecruiter