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Claims Review Nurse jobs

Viewing 1 - 10 of 22 jobs

  • Occupational Health Nurse

    Omnigroupna - Miami, FL

    Management, Management of Work Related Injury/Illness Claims, American with Disabilities Act (ADA) Process/ Waiver ... injuries for OSHA 0,1,2,3. Gathers medical information to review with Occupational Health Supervisor for determination...

    9 days ago from ZipRecruiter

  • LPN or RN Review Nurse

    Kelly Services - Albuquerque, NM

    Corporate Review Nurse 4+ MONTH CONTRACT TO HIRE EMPLOYMENT LOCATION: Albuquerque, NM Every day, Kelly Services connects ... recruiting for an exciting contract opportunity as a Review Nurse with our large medical insurance client. This...

    2 days ago from Kelly Services

  • Nurse

    Open Systems Technologies - Dallas, TX

    Nurse Job Description Job ID: 15-02392 Nurse Dallas, TX 6+ months contract Work hours are 11:00am 7:30pm central time ... minute lunch period. Position summary - Perform Utilization Review of select workers' compensation cases, comparing...

    4 days ago from Open Systems Technologies

  • Healthcare Fraud Investigator-RN

    Quality Staffing Specialists - Raleigh, NC

    Support investigations process through research; using claims data resources, medical records, case management ... as needed Coordination with external entities for referrals Review of relevant documentation Documentation of...

    14 days ago from Quality Staffing Specialists

  • Occupational Health Nurse

    Staffing the Universe - New York, NY

    Job Title: Occupational Health Nurse Pay Rate: $41.25-53.16/hr Duration: 1-year contract assignment Description/Comment: ... Management, Management of Work Related Injury/Illness Claims, American with Disabilities Act (ADA) Process/UPS...

    30+ days ago from Staffing the Universe

  • Nurse Medical Mgmt I/II

    Anthem - Richmond, VA

    Nurse Medical Management I/II - Richmond, VA 97039 Level will be determined based on skills and experience of selected c ... The Nurse Medical Management I/II is responsible to collaborate with healthcare providers and members to promote quality...

    30+ days ago from TAOnline

  • Registered Health Nurse

    Infobahn Softworld - Schaumburg, IL

    Compensation claims with MSIs 3rd party insurer. Review all work-related injury/illness cases to determine ... and document in MSIs online inspection system. Review medical accommodation requests and determine need for any...

    29 days ago from PostJobFree

  • RN Nurse Medical Mgmt I or II PSCCR (Job Family) - Norfolk, VA - 101714SY

    Anthem - Norfolk, VA

    and together we will drive the future of health care . RN Nurse Medical Management I or II - PSCCR This position will ... in interpreting appropriateness of care and accurate claims payment. May also manage appeals for services denied.

    30+ days ago from TAOnline

  • RN Nurse Medical Mgmt I or II PSCCR (Job Family) - Norfolk, VA - 101715SY

    Anthem - Norfolk, VA

    and together we will drive the future of health care . RN Nurse Medical Management I or II - PSCCR This position will ... in interpreting appropriateness of care and accurate claims payment. May also manage appeals for services denied.

    30+ days ago from TAOnline

  • NASCO Systems Analyst

    Metaoption - Detroit, MI

    Required Skills/Experience: Minimum of 3-5 years of NPS claims processing experience Experience in identifying and ... Skill required: Ability to review/perform analysis of business requirements Knowledge of Medical insurance claims proces...

    3 days ago from MetaOption, LLC

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