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Claims Review Nurse jobs - Chicago, IL

Viewing 1 - 10 of 51 jobs

  • Clinical Claims Review Nurse

    UnitedHealth Group - Lisle, IL

    paced challenging area. The RN will review, and process claims for those issues that are clinically related to ... The nurse will maintain contact with Case managers for review of authorizations related to requested services and...

    22 hours ago from UnitedHealth Group

  • Claim Manager

    Commercial Property and Casualty Insurance Company - Chicago, IL

    claims resolution skills and knowledge of insurance and claims principles, practices and procedures. 4. Ability to ... claim initiatives. 5. Reviews and manages investigations of claims, liability and damages, and works with senior...

    25 days ago from IvyExec

  • Claim Director

    Commercial Property and Casualty Insurance Company - Chicago, IL

    and claims resolution skills, knowledge of insurance and claims principles, practices and procedures. 4. Excellent ... performance. 5. Reviews and directs the application of claims policies, guidelines, insurance laws and regulations...

    30+ days ago from IvyExec

  • Clinical Quality Review Spec

    Health Care Svc - Chicago, IL

    JOB REQUIREMENTS:* Registered Nurse (RN) with unrestricted license in state of operations.* 5 years health claims and mainframe system experience.* Experience with internal/external customer relations.* Knowledge of managed care...

    30+ days ago from Health Care Svc Corp

  • Disability Specialist

    Sedgwick Claims Management Services - Chicago, IL

    efforts and to thoroughly review contested claims; to evaluate and arrange appropriate referral of claims ... appropriateness; provides thorough review of contested claims. * Evaluates and arranges appropriate referral of claims...

    2 days ago from Sedgwick Claims Management Services, Inc.

  • Floating/Traveling RN Director of Clinical Management

    Gentiva Health Services - Riverside, IL

    manager, Medicare, visit nurse, admission nurse, skilled visit, case management, r.n., rn, acute care, Executive ... RN supervisor, Registered Nurse Supervisor, nurse management, nurse manager, RN director, Registered Nurse...

    23 days ago from Gentiva Health Services, Inc.

  • Registered Nurse (RN)- Workers Compensation Field Case Manager

    Examworks Clinical Solutins (ability Services Network) - Chicago, IL

    utilization of services, concurrent review, retrospective review, development of discharge plans and assurance of ... worker, medical providers, attorneys, employers, and claims examiners. o Develops and administers education and...

    30+ days ago from HealthJobsNationwide.com

  • LPN Job(7356)

    Wexford Health - Crest Hill, IL

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... exceptional opportunity for a full-time Licensed Practical Nurse to join our team of healthcare professionals at...

    7 days ago from Wexford Health

  • Field Nurse Case Manager

    York Risk Services Group - Schaumburg, IL

    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...

    6 days ago from York Risk Services Group Inc.

  • Registered Nurse Job(7334)

    Wexford Health - Crest Hill, IL

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... has an exceptional opportunity for a full-time Registered Nurse to join our team of healthcare professionals at...

    14 days ago from Wexford Health

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