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Claims Review Nurse jobs

Viewing 1 - 10 of 1,955 jobs

  • Utilization Review-Nurse

    Korak Global Healthcare Services - Glen Burnie, MD

    Multiple positions in Utilization Review/ Case Management Nurse- Appeals & Grievances/Outpatient Nurse/ Inpatient ... MD Job Description Outpatient-The Utilization Review Nurse is responsible for receipt, screening and...

    7 days ago from Korak Global Healthcare Services LLC

  • RN Manager Associate Health & Wellness

    Wheaton Franciscan Healthcare - Racine, WI

    of worker's compensation claims. • Insures completed state-required documentation, incident history, and any related records are submitted to the worker's compensation administrator. • Reviews associate's health record. Identifies data...

    30+ days ago from Wheaton Franciscan Healthcare

  • Nurse Practitioner - (Psychiatric)

    U.S. Department of Veterans Affairs - Bath, NY

    and unrestricted licensure as a graduate professional nurse and as a nurse practitioner in a State, Territory, or ... certification as a Nurse Practitioner from the American Nurse Association or another nationally recognized...

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

  • Registered Nurse (RN) - Utilization Review (UR) - Case Manager

    Managed Care Resources - Encino, CA

    to promote quality cost effective Utilization Review and Claims auditing of medical records to determine medical ... niche fields of Case Management, Utilization Management / Review, Quality Management / Assurance and Performance...

    11 days ago from CareerBuilder

  • Utilization Review LPN

    Kelly Healthcare Resources - Woodland Hills, CA

    with a continuum of care, radiology review, or other such review processes that require an understanding of ... EDUCATION/EXPERIENCE: Requires a LPN and 2 years of clinical or utilization review experience; or any combination of edu...

    11 days ago from CareerBuilder

  • Utilization Review Nurse - four openings

    Medhealth Recruiting - Hanover, MD

    Radiation Therapists Biologists Physician Assistants Nurse Practitioners Pharmacists Mammographer Radiology ... benefits, and managed care products.-Prior utilization review experience required.-Prior experience working with...

    30+ days ago from ZipRecruiter

  • Med Tech I - Southwood/Cascade Hubs - PRN(219808)

    Kaiser Permanente - Jonesboro, GA

    : Insurance / Claims Public Department Name: CHCO Travel : No Job Eligible for Benefits: Yes External hires must pass a background check/drug screen. All qualified applicants will receive consideration for employment without regard to...

    12 days ago from Kaiser Permanente

  • Utilization Review Registered Nurse

    Healthcare Support Staffing - Bloomington, MN

    2K-66K Requirements: *MUST be a Minnesota-licensed RN *3-4 years minimum nursing experience *Must have 1-2 years minimum experience in utilization review, coding, data abstraction and/or claims review *InterQual experience preferred but...

    10 days ago from ZipRecruiter

  • Quality Review Nurse / RN

    Kelly Government Solutions - Chicago, IL

    QUALITY REVIEW NURSE / RN Kelly Healthcare Resources has an urgent need to fill an exciting, contract Quality Review Nur ... Assurance Nurse, Quality Assurance Specialist, Quality Review Specialist, Quality Review RN, Quality Review Nurse...

    11 days ago from CareerBuilder

  • Utilization Review RN

    Judge Healthcare - Cleveland, OH

    Precertify/certify and concurrently review and manage all inpatient and observation admissions utilizing InterQual® Leve ... not limited to Emergency Department utilization/claims review. 3. Assess all members receiving inpatient or observation...

    11 days ago from ZipRecruiter

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