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Claims Review Nurse jobs

Viewing 1 - 10 of 4,937 jobs

  • Claims Assistant - Workers Compensation Job

    HCR Manor Care - Toledo, OH

    Location: 000 - Corporate Office Title: Claims Assistant - Workers Compensation Description: HCR ManorCare provides a ... of workers' compensation claims by providing support to the Claims Administrators; Responsible for bill review,...

    7 days ago from HCR ManorCare

  • Clinical Investigator - US Telecommute

    UnitedHealth Group - Phoenix, AZ

    relevant clinical information. Performs clinical coverage review of post-service, pre-payment claims, which requires ... waste or abuse, and recommends providers to be flagged for review. Maintains and manages daily case review assignments,...

    2 hours ago from UnitedHealth Group

  • Sr Nurse Practitioner

    Computer Sciences Corporation (CSC) - Hanover, MD

    procedures and services. The Expert will review claims submitted for members of the Program that require ... a health benefit Program Experience in reviewing complex claims requiring medical expertise for adjudication Job...

    23 days ago from Computer Sciences Corporation (CSC)

  • RN Manager Occupational Health

    Wheaton Franciscan Healthcare - Racine, WI

    of worker's compensation claims. • Insures completed state-required documentation, incident history, and any related records are submitted to the worker's compensation administrator. • Reviews associate's health record. Identifies data...

    24 days ago from Wheaton Franciscan Healthcare

  • Concurrent Review Nurse - Permanent Job

    Yoh - Salinas, CA

    Concurrent Review Nurse needed for a direct hire opportunity with Yoh's client located in Salinas, CA. Top Skills Should ... - Perform preauthorization, concurrent and post-service review for all acute, sub-acute, skilled nursing facilities...

    4 days ago from Jobg8

  • Case Manager - RN

    Dignity Health Medical Foundation - Santa Cruz, CA

    Description JOB ID: 1500016947 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...

    7 days ago from Dignity Health Medical Foundation

  • Registrar PRN - Sahara Surgery Center

    HCA Healthcare - Las Vegas, NV

    information to ensure accurate coding, billing, and claims submission. SUPERVISOR: Business Office Manager SUPERVISES: N/A CLASSIFICATION: Non-Exempt DUTIES INCLUDE BUT ARE NOT LIMITED TO: * Responsible for accurately performing all...

    6 days ago from HCA Healthcare

  • RN Critical Care Registered Nurse Medical ICU Days

    HCA Healthcare - Largo, FL

    Assist in resolving billing edits that are holding patient claims from billing, by reviewing medical records and other ... Review high charge stays/procedures for charging accuracy...

    4 days ago from HCA Healthcare

  • Staff Nurse (Revenue Utilization Review)

    U.S. Department of Veterans Affairs - Cincinnati, OH

    Job Duties: RUR (Registered Utilization Review) Nurse responsibilities include: 1) Approval Reviews: The RUR nurse ... tools required per UR documentation standards. 2) Denial Review: The RUR nurse will appeal denied clinical claim...

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

  • UTILIZATION REVIEW SPECIALIST - Mental Health & Substance Use Services

    Marin County - San Rafael, CA

    UTILIZATION REVIEW SPECIALIST Mental Health & Substance Use Services Health & Human Services $5,552-$6,691/Month (6% ass ... Services Utilization Review Specialist conducts utilization review activities to support the proper documentation of...

    9 days ago from iHireMentalHealth