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Claims Review Nurse jobs - Chicago, IL

Viewing 1 - 9 of 9 jobs

  • Director of Case Management / RN / Utilization Review Nurse

    Biologics - Chicago, IL

    for the organization Oversee the provider contracting and claims review functions Oversee the development, ... for prospective, concurrent and retrospective utilization review procedures Collect, analyze and maintain data regarding...

    17 days ago from CareerBuilder

  • Wellness Risk Management RN

    Medix - Chicago, IL

    and managing an appeals team Promoting higher learning for claims department associates Building relationships across ... claim cases Participating in claim review and denials review Mentoring/Coaching personnel in order to enhance...

    30+ days ago from CareerBuilder

  • RN Case Manager, Registered Nurse

    Advanced Resources - Westchester, IL

    or Physician Review.Track ongoing status of all utilization review activity so that appropriate turnaround times are ... such as: registrars, medical billing specialists, medical coders, claims processing and medical collection...

    4 days ago from CareerBuilder

  • Account Claims Representative II - Workers Compensation

    PMA Companies - Schaumburg, IL

    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...

    5 days ago from CareerBuilder

  • Compliance Specialist - Registered Nurse / RN- Central

    Maxim Healthcare Services - Chicago, IL

    primary responsibility of the Compliance Specialist is to review clinical medical records and claims for accuracy of ... 30 days of site visit * Assists with clinical review for claims testing activities * Assists with clinical review for...

    9 days ago from Maxim Healthcare Services, Inc

  • Nurse Case Manager Advocate

    Questpro Consultants - Chicago, IL

    Clients on ways to reduce or eliminate their claims, e.g. review of loss histories for trends requiring re-training, ... Nurse Case Manager Advocate Education: Nursing DegreeFive years claims experienceCompetencies /Skills: Good understandin...

    30+ days ago from CareerBuilder

  • Complex Case Manager

    Meridian Health Plan - Chicago, IL

    management, discharge planning, disease management and the review of claims, pharmacy and hospital discharge data. Is a ... is required. Current license to practice as a registered nurse in the state, without restriction, is required; or...

    11 days ago from CareerBuilder

  • Director of Quality and Risk Management

    Merraine Group - Gary, IN

    processes and resources. Manages data from event reports, claims and loss prevention studies and reduce institutional ... and promote patient safety. Coordinate hospital efforts to review and maintain compliance with all regulatory, state,...

    6 days ago from CareerBuilder

  • Medical Department Supervisor

    AXA Assistance USA - Chicago, IL

    the work assignments of staff members. Communicates large claims to manager Evaluates activities of department, staff relations, and efficiency of service. Assists in the development, implementation and evaluation of department policies,...

    5 days ago from CareerBuilder

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