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Claims Review Nurse jobs

Viewing 1 - 10 of 1,117 jobs

  • Director of Nursing - Psychiatric

    Wexford - Pontiac, IL

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... to offer a competitive benefits package including: Annual review with performance increase Generous paid-time off...

    15 days ago from Wexford Health

  • 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...

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

  • Registered Nurse (RN) Risk Specialist - part time

    HCA Healthcare - Independence, MO

    and respond to complaints, occurrence reports, and claims. 3. Facilitate and/or perform focused reviews, identify ... Licensure/Certification/Registration: Current Registered Nurse (RN) licensure in Missouri required; Certification in Ris...

    3 hours ago from HCA Healthcare

  • Surgical Technician

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

    Surgery Suite. The orthopedic tech will report to the Nurse Manager, Ambulatory Surgery. Work Schedule: Normal tour ... For more information, please review the information for disabled Veterans in the application checklist or visit http://w...

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

  • RN Medical Case Mgr - Workers Compensation

    Travelers - Houston, TX

    Contact medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appr ... jurisdictions. For nurses handling Workers Compensation Claims, perform Utilization Review according to established...

    22 days ago from CareerBuilder

  • Nurse Auditor / Chart Review Nurse

    FSS - Houston, TX

    balanced. 3. Works with outside auditors to review claims to ensure charges were billed approprietly. GROWTH/INNOVATION ... LICENSES AND REGISTRATIONS REQUIRED Registered Nurse (RN) SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED 1.

    5 days ago from ZipRecruiter

  • Registered Nurse (Utilization Management)

    U.S. Department of Veterans Affairs - Saginaw, MI

    The UM Nurse reports directly to the Assistant Chief Quality Service Value (QSV)/Nurse Manager UM ... through Friday) Functional Statement Title: Registered Nurse Utilization Management Nurse Qualifications: To qualify...

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

  • Workers Compensation RN Medical Case Mgr

    Travelers - Indianapolis, IN

    Contact medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appr ... jurisdictions. For nurses handling Workers Compensation Claims, perform Utilization Review according to established...

    30+ days ago from CareerBuilder

  • Nurse Medical Case Manager - Workers Compensation

    Travelers - Los Angeles, CA

    jurisdictions. For nurses handling Workers Compensation Claims, perform Utilization Review according to established ... Best Practices Perform other duties as required. Registered Nurse, Licensed Vocational Nurse, or other qualified health...

    30+ days ago from CareerBuilder

  • Nurse Auditor

    E-health Jobs - Houston, TX

    must be balanced. 3. Works with outside auditors to review claims to ensure charges were billed approprietly. ... LICENSES AND REGISTRATIONS REQUIRED Registered Nurse (RN) SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED...

    21 days ago from ZipRecruiter