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Claims Review Nurse jobs

Viewing 1 - 10 of 1,354 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.

    9 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

  • Staff Nurse (Revenue Utilization Review)

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

    Responsibilities of the RUR (Registered Utilization Review) Nurse include but are not limited to: * Pre-certification, ... evidence of dependability and reliability. VA Nurse Qualifications: Nurse I Level I - An Associate Degree (ADN)...

    1 day ago from U.S. Department of Veterans Affairs

  • Registered Nurse - External Peer Review Programs (EPRP)

    U.S. Department of Veterans Affairs - Louisville, KY

    10-2850c – Application for Nurse and Nurse Anesthetist (Available at http://www.va.gov... (required). * If ... * 1-Full-Time * 0610-Nurse * Active * https://ApplicationManager.gov..

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

  • Utilization Review Nurse - 4854051

    Hotrx Jobs/ Accolades Staffing - Hanover, MD

    medicaid/managed care population DescriptionThe Utilization Review RN is responsible for collaborating with healthcare ... benefits, and managed care products. Prior utilization review experience required. Prior experience working with...

    30+ days ago from ZipRecruiter

  • SR CLAIMS REVIEW NURSE

    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 - Permanent Job

    Yoh - Santa Clara, CA

    Medical Review Nurse needed for a direct hire opportunity with Yoh's client located in Santa Clara, CA. Top Skills You ... and benefit determinations - Performs review of suspended claims for CPT, ICD-9/ICD-10, HCPCS coding, bundling issues...

    2 days ago from Yoh

  • Medical Review Nurse

    HMS Holdings - Irving, TX

    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:** *United States* **Requisition...

    6 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

  • Utilization Review Nurse

    Ally - Hanover, MD

    care population Description The Utilization Review RN is responsible for collaborating with healthcare ... benefits, and managed care products. Prior utilization review experience required. Prior experience working with...

    30+ days ago from Ally

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