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Claims Review Nurse jobs

Viewing 1 - 10 of 1,388 jobs

  • QRM Medical Review Manager(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.

    13 days ago from Kaiser Permanente

  • Workers Compensation Claims Examiner

    Dart Container - Mason, MI

    standards. * Coordinate appropriate referral of claims for nurse case management services, transportation, translation ... claims, PIP claims, or other disability related claims * At least 2 years applying basic medical terminology...

    6 days ago from Dart Container

  • Utilization Review Specialist

    Health Choice - 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...

    5 days ago from

  • Registered Nurse - SNF/Review

    Careoregon - Portland, OR

    General Statement of Duties The Benefit Review Registered Nurse - is responsible for supporting specific utilization ... functions within the department. These functions include review of SNF stays for authorization of admissions,...

    30+ days ago from Professional Diversity Network


    Cooper University Hospital - Camden, NJ

    management as requested. Graduate of Accredited Registered Nurse program. Three or more years of clinical experience in ... or health care auditing. Current New Jersey Registered Nurse License. Proficiency in Microsoft Excel, Word and...

    30+ days ago from Cooper University Hospital

  • Medical Review Nurse

    HMS Holdings - Florida

    The*Medical Review Nurse*provides medical records review of files as requested. ** *Main Duties & Responsibilities:* * ... arena as Medical Review Nurse work **Title:** *Medical Review Nurse* **Location:** *Florida-FL-Remote*...

    12 days ago from HMS Holdings

  • CSHCS Review Nurse

    Meridian Health Plan - Detroit, MI

    CSHCS candidates through the following mechanisms: * Review existing data bases regarding border babies currently ... Utilization Management, Medical Director, Member Services, Claims, MeridianRx and providers * Initiate the referral and...

    30+ days ago from Meridian Health Plan

  • RN, Targeted Review(344652)

    Kaiser Permanente - Atlanta, GA

    Refers the patient to the home care review team &/or social workers as appropriate ... Coordinates & assists the Specialty Care Review Srv Sup’v w/ongoing physician education...

    1 day ago from Kaiser Permanente

  • Registered Nurse - Benefit Review

    Oregon Employment Department - Portland, OR

    Requisition Number: 455 Job Title: Registered Nurse - Benefit Review City: Portland State/Province: Oregon Positon Type: ... Job Description: Position Title: Registered Nurse - Benefit Review Department: Health Services Operations Title of...

    13 days ago from Oregon Employment Department

  • Registered Nurse - Benefit Review

    Oregon's Health Co-op - Portland, OR

    Statement of Duties The Registered Nurse – Benefit Review is responsible for supporting specific utilization ... requirements for transplant services  Review OOA requests and request continued stay reviews  Submit...

    13 days ago from Oregon's Health CO-OP

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