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Claims Review Nurse jobs

Viewing 1 - 10 of 62 jobs

  • Registered Nurse - Review Analyst

    Jawood - Southfield, MI

    JAWOOD is seeking a Registered Nurse Review Analyst for a long-term contract position at a major health insurance ... Duties include: Approval or rejection of claims, admissions approvals, telephone triage, and/or benefit interpretation...

    30+ days ago from Jobs.ResumeSpider

  • Claim Manager - HealthCare Programs Segment

    Commercial Property and Casualty Insurance Company - Chicago, IL

    claims resolution skills and knowledge of insurance and claims principles, practices and procedures. 4. Ability to ... claim initiatives. 5. Reviews and manages investigations of claims, liability and damages, and works with senior...

    2 days ago from IvyExec

  • Claim Manager

    Commercial Property and Casualty Insurance Company - Chicago, IL

    claims resolution skills and knowledge of insurance and claims principles, practices and procedures. 4. Ability to ... claim initiatives. 5. Reviews and manages investigations of claims, liability and damages, and works with senior...

    28 days ago from IvyExec

  • Utilization Review Nurse - Full Time - Utilization Management

    Alaska Native Tribal Health Consortium - Anchorage, AK

    healthcare services to patients. Documents review information in computer. Communicates results to claims ... Utilization Review. Certification in Utilization Review or Utilization Management is preferred. ADDITIONAL...

    30+ days ago from Alaska Native Tribal Health Consortium

  • Registered Nurse - SNF/Review - 348 (HOPA)

    Portland, OR

    General Statement of Duties: The Benefit Review Registered Nurse ' is responsible for supporting specific utilization ... level of care, and effective discharge planning. Review of high dollar inpatient cases for reinsurance...

    18 days ago from Oregon Employment Department

  • Registered Nurse Review Analysts

    Jawood - Detroit, MI

    include: Responsible for the approval or rejection of claims, admissions approvals, telephone triage, and/or ... reference data via PC and/or CRT terminal. , , Registered Nurse with current Michigan driver\'s license. Associate...

    30+ days ago from Jobs.ResumeSpider

  • Medical Review RN

    Quality Health Strategies - Dallas, TX

    professional position that performs medical record and claims review for Medicare, Medicaid, and/or other claims data ... abuse with regards to Medicare, Medicaid, and/or other claims. Required Skills To perform this job successfully, an...

    18 days ago from Quality Health Strategies

  • Utilization Review Specialist

    IASIS Healthcare - Phoenix, AZ

    Review clinical information for accuracy. Review level of care and location of services delivered. Review ... member’s Third Party Liability coverage. Review claims including pre-payment and retrospective review. Work...

    23 days ago from IASIS Healthcare

  • Workers Compensation Claims Specialist

    JPS Health Network - Fort Worth, TX

    Description: The Workers’ Compensation Claims Specialist is responsible for initiating, monitoring and providing ... necessary information regarding options, claims, forms, standards, requirements, laws, regulations and policies...

    7 days ago from JPS Health Network

  • Registered Nurse Review Analyst

    Jawood - Detroit, MI

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

    30+ days ago from Jobs.ResumeSpider

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