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Claims Review Nurse jobs

Viewing 1 - 10 of 7,903 jobs

  • Surveillance Utilization Review Manager

    Xerox - Anchorage, AK

    potentially fraudulent or abusive Alaska Medicaid claims. Utilizing a combination of technological platforms, ... issues, system configuration and pricing errors. Reviews claims processor errors (manual or system processed), and...

    24 days ago from Xerox

  • Claim DRG Readmission Review RN - Telecommute opportunity

    UnitedHealth Group - Las Vegas, NV

    for medical necessity. * Assist with other Medical Claims review questions, as needed. * Seeks input from ... review, Las Vegas, NV, Nevada, United Health Group, concurrent review, medical claim review, telecommute, work from...

    18 days ago from UnitedHealth Group

  • RN Clinical Claims Review - Work from Home anywhere in the US

    UnitedHealth Group - Phoenix, AZ

    Managed care experience is strongly preferred * Utilization review and/or case management experience is preferred * BSN ... to random drug testing. Keywords: RN, Claims Review, Claims, Clinical claims review; Phoenix, AZ, Minneapolis,...

    16 days ago from UnitedHealth Group


    Tenet Health - Lakewood, CA

    Description : Implements and manages the Clinical Claims Review process for Coast Healthcare Management (CHM), and ... experience Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred...

    17 days ago from

  • Liability Claims Analyst

    Kindred- Kindred Hospital - Louisville, KY

    summaries of investigations of care and medical records review. * Attends mediations to assist Liability Claims ... claims under the authority and guidance of the Liability Claims Counsel or Specialist. * Consults with Risk...

    2 days ago from Kindred- Kindred Hospital

  • Medical Bill Review

    Healthcare Scouts - Fort Worth, TX

    proactive medical saving solutions in medical bill review to the health, workers’ compensation, liability and ... – motivated Registered Nurse, RN, Medical Bill Review, Work Comp, Disability Management, Claims Management, Insurance...

    1 day ago from HealthCare Scouts

  • RN - Medical Claims Review Nurse

    Molina Healthcare - Spokane, WA

    Minimum one year Utilization Review and/or Medical Claims Review Required Licensure/Certification: Active, ... State Licensed Vocational Nurse, Licensed Practical Nurse Preferred Education: Registered Nurse Bachelors Degree...

    9 days ago from

  • Account Claims Representative I - Workers Compensation

    PMA Companies - Atlanta, GA

    Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve ... to clients, including face to face interactions during claims reviews, stewardship meetings and similar...

    3 days ago from PMA Companies

  • RN, Clinical Claims Review

    Healthcare Partners - Torrance, CA

    RN, Clinical Claims Review Req: 12654 Department: IMCS Claims Schedule: Full Time Shift: Days Hours: Monday 7:00 a.m. to ... seeking aRN, Clinical Claims Review: Responsiblefor review, research and complete retrospective clinical claims...

    8 days ago from IHispano

  • RN, External Peer Review

    U.S. Department of Veterans Affairs - Columbia, SC

    Medical Center is seeking an RN to serve as external peer review nurse. S/he is responsible for the documented ... VA Form 10-2850a - Application for Nurse and Nurse Anesthetist (Available at

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

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