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Claims Review Nurse jobs

Viewing 1 - 10 of 1,130 jobs

  • Staff Nurse (Revenue Utilization Review)

    U.S. Department of Veterans Affairs - North Chicago, IL

    Job Duties: RUR (Registered Utilization Review) Nurse responsibilities include: *Performance of clinical review ... or Military Sexual Trauma. SA review includes validation review of special treatment related to experience or...

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

  • Medical Record Case Review Specialist

    Alps Services - Henrico, VA

    RECORD CASE REVIEW SPECIALIST The Medical Record Case Review Specialist should have experience working with case ... 1. Previous experience with the review of medical claims and medical records requests. 2. Previous utilization...

    8 days ago from ZipRecruiter

  • Registered Nurse / RN / Review Analyst

    A-line Staffing Solutions - Detroit, MI

    A-Line Staffing is looking for a Registered Nurse-Review Analyst for a leading insurance company in the Metro Detroit ... including Outlook, and Excel. Key Words: RN, Registered Nurse, Utilization Review, Interqual, Chart Review If...

    6 days ago from MiracleWorkers.com

  • Itemization Review Registered Nurse RN Administrative

    Primus Global Services - Fort Worth, TX

    REPORTS TO: Itemization Review Team Lead Supervisor GENERAL DESCRIPTION: The Professional Review Nurse provides analysis ... counts Be a team player working with other Professional Review Nurses and management supervisors in a positive team...

    13 days ago from CareerVitals.com Healthcare Job Board

  • Registered Nurse Review Analyst

    Genpact - Detroit, MI

    Jawood Healthcare Solutions, is seeking a Registered Nurse Review Analyst. Duties include: • Responsible for the ... to perform this job. Requirements: • Registered Nurse with current Michigan driver's license. • Associate Degree or...

    13 days ago from MiracleWorkers.com

  • Quality Control Review Registered Nurse RN

    Primus Global Services - Fort Worth, TX

    Responsible for ensuring and maintaining MCS Bill Review database integrity by reviewing IB line item ... Errors Maintains constant communications with the Medical Review Department regarding unusual billing practices and...

    13 days ago from CareerVitals.com Healthcare Job Board

  • Medical Review Nurse

    Ceris - Fort Worth, TX

    GENERAL DESCRIPTION: The Medical Review Nurse provides analysis of medical services to determine accuracy of charges on ... counts Be a team player working with other Professional Review Nurses and management/supervisors in a positive team...

    12 days ago from CERiS

  • Utilization Review Nurse I

    Zurich Insurance Company - Schaumburg, IL

    We are currently looking for a Utilization Review Nurse to join one of the largest workers’ compensation insurers in the ... Utilization Review Nurse (URN) performs medical necessity review of proposed, concurrent, or retrospective clinical...

    14 days ago from Zurich Insurance Company Ltd

  • Utilization Review Nurse

    CIGNA - Houston, TX

    of Inpatient Utilization Management, the Inpatient Review Nurse is responsible for effective, efficient medical ... The Inpatient Review Nurse is responsible for the effective, efficient & proactive completion of all utilization managem...

    14 days ago from Cigna

  • Clinical Review/ Nurse Auditor

    Community Health Systems - Tucson, AZ

    POSITION PURPOSE The Clinical Appeals Nurse is responsible for reviewing clinical denials by conducting a comprehensive ... write sound, compelling factual arguments to appeal denied claims. The Clinical Appeals Nurse will also maintain open...

    19 days ago from Community Health Systems

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