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Claims Review Nurse jobs

Viewing 1 - 10 of 6,859 jobs

  • Senior Workers Comp Claims Adjuster

    Dart Container - Pleasant Lake, 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. *...

    2 days ago from Dart Container

  • Workers Compensation Claims Manager

    Dart Container - Grand Ledge, 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)...

    2 days ago from Dart Container

  • RN Risk Management - 1st Shift - Days

    UC Health - Colorado Springs, CO

    potential and/or actual professional/general liability claims. Works closely with the Risk Manager on claims ... · Required licenses/certifications: State licensure as a Registered Nurse (RN), Basic Life Support (BLS) Healthcare Prov...

    2 days ago from UC Health

  • 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...

    5 days ago from Dignity Health

  • 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.

    2 days ago from Dignity Health Medical Foundation

  • 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.

    10 days ago from Farmers Insurance Group

  • Claims Recovery Specialist

    Visiting Nurse Service of New York - Manhattan, NY

    Overview: Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health ... all claim recovery activities. Develops and generates claims reports as requested. Works under general supervision.

    10 days ago from

  • Registered Nurse RN - Director of Nursing (DNS/DON) - Home Care

    Readynurse Staffing - San Diego, CA

    – San Diego, CA We are hiring a qualified Registered Nurse RN for a full time permanent Home Health Director of Nursing need in San Diego, CA . If you or someone you know are interested you are encouraged to apply today with a current...

    12 days ago from ReadyNurse Staffing

  • Medical Claims Coordinator - Medical Claims Supervisor

    US Medical Staffing - New York, NY

    the Claims Director in the day-to-day operation of the Claims Department to ensure claims are processed timely and ... those troublesome claims that require in-depth review.Provide training when necessaryUpdate policies and...

    1 day ago from ZipRecruiter

  • Senior Claims Adjuster

    Excalibur Legal Staffing - Washington, DC

    reports and letters to all parties involved in claims · Ability to communicate effectively to claimants, nurses, and ... participate in claims review as needed · Develop and maintains professional customer relationship · Participating in...

    6 days ago from ZipRecruiter