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Claims Review Nurse jobs

Viewing 1 - 10 of 100 jobs

  • Temp Utilization Review Nurse

    Santa Clara Family Health Plan - Campbell, CA

    POSITION TITLE: Utilization Review Nurse DEPARTMENT: Utilization Management REPORTS TO: Utilization Management ... Review outpatient prior authorization requests and/or retrospective requests through claims review and incoming requests...

    30+ days ago from Santa Clara Family Health Plan

  • Case Management - RN

    Trinity Health - Columbus, OH

    Directors on case-specific issues. * Coordinates with Claims, Member Services, Grievance Coordinator and other ... to department policies and procedures. * Conducts claim review as required for appropriate claims processing **About...

    6 days ago from Trinity Health

  • TEMPORARY RN: Care Manager II RN-Prior Auth (OR: Tigard)

    Health Net of California - Portland, OR

    – TEMPORARY POSITION The Care Manager II –Pre-Service Review/Prior Auth performs advanced and complicated case review ... Documents rate negotiation accurately for proper claims adjudication. * Coordinates UM/CM review activities with...

    5 days ago from Health Net of California

  • Risk Management Nurse - (Risk Management RN)

    Nursesrx - Fresno, CA

    for Details Job Description & Requirements Risk Management Nurse - (Risk Management RN) Responsible for clinical ... to reduce liability exposure and potential malpractice claims by reviewing patient records. Considered a...

    12 days ago from NursesRx

  • TCM Nurse

    York Risk Services Group - El Dorado Hills, CA

    service to direct and indirect customers Organizes and review medical records to identify specific medical issues; Provides information and recommendations to appropriate parties Acts as an advocate for the injured worker with all parties...

    17 days ago from York Risk Services Group Inc.

  • TEMPORARY RN: Care Manager II RN-Prior Auth (OR: Tigard) - 14004876

    Oregon Employment Department - Portland, OR

    Documents rate negotiation accurately for proper claims adjudication. * Coordinates UM/CM review activities ... Certification/License: - Active, valid, maintained & unrestricted state of Oregon Registered Nurse license required...

    27 days ago from Oregon Employment Department

  • Nurse Practitioner or Physician Assistant (Mental Health) PRRTP

    Federal Government Jobs - Danville, IL

    Nurse Practitioner (NP): Will have a minimum of a master's degree in nursing/nurse practitioner major, and board certifi ... Nurse Practitioners: VA Form 10-2850a - Application for Nurse and Nurse Anesthetists - Available at http://www.va.gov..

    1 day ago from afro

  • Risk Management Nurse - (Risk Management RN)

    American Mobile - Fresno, CA

    for Details Job Description & Requirements Risk Management Nurse - (Risk Management RN) Responsible for clinical ... to reduce liability exposure and potential malpractice claims by reviewing patient records. Considered a...

    12 days ago from AMN Healthcare

  • Associate Degree Nursing Instructor (Temporary Contract)

    Santa Rosa Junior College - Santa Rosa, CA

    or eligibility for licensure as a Registered Nurse in the State of California. • A minimum of one year full-time Medical-Surgical work experience in an acute care hospital within the last five years providing direct patient care. Work...

    16 days ago from DisabledInHigherEd.com

  • Risk Management Nurse - (Risk Management RN)

    Medical Express - Fresno, CA

    to reduce liability exposure and potential malpractice claims by reviewing patient records. Considered a ... management nurse, risk management RN, risk RN, registered nurse, RN, R.N., hospital, medical, risk assessment,...

    22 days ago from EmploymentGuide

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