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Claims Review Nurse jobs

Viewing 1 - 10 of 9,397 jobs

  • Registered Nurse Clinical Documentation Reviewer

    HCA Healthcare - Overland Park, KS

    is to create consistency and efficiency in inpatient claims processing and data collection to optimize DRG ... Qualifications Education: Registered Nurse, Bachelor’s preferred Licensure/Certifications: Current Kansas Nursing Licens...

    8 days ago from HCA Healthcare

  • Claims Investigator (Work from Home)

    HCA Healthcare - Houston, TX

    internet searches (required) * Experience with STARS claims information system (desired) * Working knowledge of ... (required) * Ability to prioritize, handle multiple claims with due dates and time management...

    8 days ago from HCA Healthcare

  • Utilization Review Nurse

    Novare - Frisco, TX

    Position Summary: To perform utilization review for workers compensation claims based on review criteria and protocols ... Prior experience in a managed care or utilization review agency environment OR emergency/trauma nursing...

    23 days ago from

  • Clinical Nurse Reviewer

    Cid Management - Westlake Village, CA

    duties and responsibilities, the Initial Clinical Nurse Reviewer will perform the following functions: Job ... attention to detail. A dedication to learning Clinical review experience preferred. RN or nurse practitioner license...

    17 days ago from Advanced Healthcare Network

  • Utilization Review Nurse - Full Time - Utilization Management

    Alaska Native Tribal Health Consortium - Anchorage, AK

    review information in computer. Communicates results to claims adjusters. Enters billing information for services. ... experience Utilization Review. Certification in Utilization Review or Utilization Management is preferred. ADDITIONAL...

    2 days ago from

  • Staff Nurse (Revenue Utilization Review)

    U.S. Department of Veterans Affairs - North Chicago, IL

    Job Duties: RUR (Registered Utilization Review) Nurse responsibilities include: *Performance of clinical review ... or Military Sexual Trauma. SA review includes validation review of special treatment related to experience or...

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

  • Utilization Review Nurse

    Trn - Davidsonville, MD

    Pharmacy, Radiology/Imaging, Nurse/Nurse Management, Nurse Practitioner/Physician Assistant, Hospice/Home ... search. Job Description: Description The Utilization Review RN is responsible for collaborating with healthcare...

    2 days ago from ZipRecruiter

  • Medical Director – Claims Review

    Nexus Healthcare - Spokane, WA

    Evaluates authorization requests in timely support of nurse reviewers and manages the denialprocess. Reviews cases ... and continuity of care. Conducts retrospective reviews of claims and appeals, and resolves grievances related...

    15 days ago from ZipRecruiter

  • Utilization Review Nurse

    Zagaruyka&associates - Dallas, TX

    to the UM staff including consultation and support to nurse reviewers - Evaluates outcomes as a result of utilizing health status surveys with patients as well as through satisfaction questionnaires - Participates in interrater reliability...

    10 days ago from ZipRecruiter


    Confluence Health - Wenatchee, WA

    REIMBURSEMENT NURSE REVIEWER Come to Sunny, Scenic North Central WA Where You Can Have a Perfect Work-Life Balance in ... Join our Medical Information team as a REIMBURSEMENT NURSE REVIEWER , you will be researching and preparing...

    30+ days ago from HEALTHeCAREERS Network

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