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Claims Review Nurse jobs

Viewing 1 - 10 of 2,737 jobs

  • Director of Compliance Audits and Appeals (RN)

    Archcare - New York City, NY

    and Medicaid law, regulation, and guidelines; Communicating review results with management; Recommending corrective ... OMIG, and their agents. Responsibilities: Monitor and review SNF clinical documentation to ensure accuracy,...

    30+ days ago from ArchCare

  • Nurse Practitioner-Physician Assistant Job(6508)

    Wexford Health - Jacksonville, IL

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... income with no need to look for new patients * Annual review with performance increase * 401(k) retirement saving...

    30+ days ago from Wexford Health

  • RN-Utilization Review Nurse- (part-time)

    CorVel - Downers Grove, IL

    IL office for a part-time utilization review nurse.The U.R. Nurse gathers demographic and clinical information on ... an appropriate length of stay.JOB DUTIES:The Utilization Review Nurse must identify the necessity of the review...

    10 days ago from CareerBuilder

  • LPN / Medical Reviewer

    Kelly Healthcare Resources - Columbia, SC

    who's ready to hit-the-ground-running providing support and review of medical claims and utilization practices. So, if ... Nurse, Medical Review Officer, MRO, Medical Review Nurse, Medical Records Review Nurse, Medical Claim Review,...

    23 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...

    11 days ago from ZipRecruiter

  • Utilization Review Nurse

    Medical Audit Consultants - Laguna Hills, CA

    necessity reviews for both commercial and government claims. EDUCATION REQUIREMENTS Must have an active RN ... patient care required with Case Management/Utilization Review knowledge mandatory. SPECIAL KNOWLEDGE, SKILLS AND...

    16 days ago from ZipRecruiter

  • Licensed Vocational Nurse

    U.S. Department of Veterans Affairs - El Paso, TX

    current and unrestricted licensure as a licensed practical nurse or vocational nurse in a State, Territory or ... information. Completed work should need only a general review by a registered nurse or physician for...

    7 hours ago from U.S. Department of Veterans Affairs

  • RN Utilization Review / Care Coordinator

    TRC Staffing Services - Phoenix, AZ

    and is responsible for appropriate and timely resolution of claims requiring clinical review. As a review specialist the ... healthcare experience prior experience in Utilization review, Quality Assurance or health insurance, appeals and...

    14 days ago from CareerBuilder

  • Utilization Review Nurse

    Trn - Baltimore, 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...

    19 days ago from ZipRecruiter

  • LVN / Tomball Community Based Outpatient Clinic

    U.S. Department of Veterans Affairs - Tomball, TX

    Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness and ... * 1-Full-Time * 0620-Practical Nurse * Active * https://ApplicationManager.gov..

    8 hours ago from U.S. Department of Veterans Affairs

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