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Claims Review Nurse jobs

Viewing 1 - 10 of 4,958 jobs

  • Claim DRG Readmission Review RN - Telecommute opportunity

    UnitedHealth Group - Las Vegas, NV

    for medical necessity. * Assist with other Medical Claims review questions, as needed. * Seeks input from ... review, Las Vegas, NV, Nevada, United Health Group, concurrent review, medical claim review, telecommute, work from...

    30+ days ago from UnitedHealth Group

  • RN/Utilization Review

    E-health Jobs - Maryland

    An established Health Benefits/Managed Care company is seeking an experienced Utilization Review Nurse to be responsible ... benefits, and managed care products. -Prior utilization review experience required. -Prior experience working with...

    19 days ago from


    Pinnacle Search Firm - Miami, FL

    UTILIZATION REVIEW RN We are looking for a permanent/full time Utilization Review RN for a specialty healthcare company ... UTILIZATION REVIEW RN Summary: Utilization Review is the process in which medical review determinations are...

    16 days ago from

  • Utilization Management Nurse Reviewer

    Medical Mutual - Cleveland, OH

    Utilization Management Nurse Reviewer Job Title: Utilization Management Nurse Reviewer Job Type: Full-Time Location: ... Job Description: Utilization Management Nurse Reviewer Reports to: Supervisor Location: Cleveland We...

    2 days ago from TweetMyJobs

  • Utilization Review Case Management Nurse / RN

    Medsolutions - Franklin, TN

    Utilization Review Case Manager Nurse / RNBasic Function:The Registered Nurse will perform clinical and operational proc ... Essential Responsibilities:• Performs utilization review activities for Post Acute Care requests and contacts...

    9 days ago from CareerBuilder

  • Utilization review nurse

    Dynamic Medical Consultants - Seattle, WA

    nurse for medical consulting company with utilization review and precertification experience. Prefer workers’ ... 8-9 hours daily of computer/phone time handling medical claims. This position is paid per medical report completed...

    12 days ago from ZipRecruiter

  • Account Claims Representative II - Workers Compensation

    PMA Companies - Meriden, CT

    Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve ... to clients, including face to face interactions during claims reviews, stewardship meetings and similar...

    1 day ago from PMA Companies

  • Utilization Review Nurse

    E-health - Hanover, MD

    Company Description: Job Description: The Utilization Review RN is responsible for collaborating with healthcare ... in interpreting appropriateness of care and accurate claims payment. -May also manage appeals for services...

    13 days ago from ZipRecruiter

  • Registered Nurse- (Utilization Review)

    U.S. Department of Veterans Affairs - White River Junction, VT

    Management (UM) Nurse is a registered professional nurse, qualified by education and experience. The UM Nurse ... evidence-based UM review criteria are used. * Ensuring review processes are consistent with national guidance both...

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

  • Medical Claim Review Medical Director - Virtual

    UnitedHealth Group - Baltimore, MD

    for the initial (MCR) post service clinical review of claims for UnitedHealth Group (UHG). The Medical Director ... other departments such as the preservice Clinical Coverage Review team and Inpatient Concurrent Review team regarding...

    10 days ago from UnitedHealth Group

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