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Claims Review Nurse jobs

Viewing 1 - 10 of 5,158 jobs

  • Medical Review Manager - Claims/Quality Review(319971)

    Kaiser Permanente - Aurora, CO

    • Manages the activities of personnel in the Medical Review and claims department. • Coordinates specialized ... as a Registered Nurse, Nurse Practitioner, Physician Assistant or any other health care related license preferred.

    16 days ago from Kaiser Permanente

  • Claims Investigator (Work from Home)

    HCA Healthcare - Houston, TX

    internet searches (required) * Experience with STARS claims information system (desired) * Working knowledge of ... (required) * Ability to prioritize, handle multiple claims with due dates and time management...

    19 hours ago from HCA Healthcare

  • Case Review Nurse/Clinical Coordinator

    Aerotek Scientific - Rockford, IL

    Review Coordinator - Full Time Days Responsibilities: Case review of patients insurance claims that are in dispute. ... This is a great opportunity for a Nurse to transition into a Case Review/Case Manager career Qualifications: RN or BSN i...

    1 day ago from Aerotek Scientific

  • Utilization Review Nurse - Full Time - Utilization Management

    Alaska Native Tribal Health Consortium - Anchorage, AK

    Utilization Review Nurse - Full Time - Utilization Management Tracking Code 20140704 Job Description JOB SUMMARY Under ... review information in computer. Communicates results to claims adjusters. Enters billing information for services.

    30+ days ago from Professional Diversity Network

  • LVN, Clinical Claims Review

    Torrance, CA

    a LVN, Clinical Claims Review: _ Responsible for review, research and complete retrospective clinical claims ... and trends identified during retrospective claims review. Develops and assists with the maintenance of policies and...

    16 days ago from

  • Claim Rep Specialty Liability/Cargo

    Travelers - St Paul, MN

    for specific activities required to properly investigate claims such as Subro, Risk Control, nurse consultants, and ... claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal...

    9 days ago from CareerBuilder

  • Initial Clinical Nurse Reviewer

    Cid Management - Westlake Village, CA

    duties and responsibilities, the Initial Clinical Nurse Reviewer will perform the following functions: Job ... attention to detail. A dedication to learning Clinical review experience preferred. RN or nurse practitioner license...

    8 days ago from

  • Director, Workers' Comp Claims

    Dollar General - Nashville, TN

    Manages third party vendors, including medical bill review, legal bill review, pharmacy program, contract nurses ... high exposure WC claims. Makes final decisions on complex claims. Conducts continuous claim file reviews of worker’s...

    15 days ago from The Ladders

  • Utilization Review Coordinator

    Nurse Management - Portland, OR

    management activities ensuring regulatory compliance. The Nurse Case Manager organizes medical management programs ... The Utilization Review Manager / Case Manager is responsible for facilitating patient care objectives, discharge patient...

    13 days ago from

  • Vice President, Complex Claim Liability Specialist

    Leading American Insurance Company - Hartford, CT

    for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and ... - Evaluate all claims for recovery potential; directly handle recovery efforts and/or engage and direct Company resource...

    5 days ago from IvyExec

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