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Claims Review Nurse jobs - Chicago, IL

Viewing 1 - 10 of 184 jobs

  • 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

  • Floating/Traveling RN Director of Clinical Management

    Gentiva Health Services - Chicago, IL

    traveling. Required Experience: keywords: RN, Registered Nurse, Nurse, nursing, homecare, home care, healthcare, ... supervisor, Registered Nurse Supervisor, nurse management, nurse manager, RN director, Registered Nurse Director~MON~...

    20 days ago from HealthJobsNationwide.com

  • Claims Adjuster

    Kforce Inc. - Chicago, IL

    standards Coordinate appropriate referral of claims for nurse case management services, transportation, translation ... and investigative services, within company standards Review and appropriate payments for medical treatment within...

    5 days ago from CareerRookie.com

  • Worker's Compensation Claims Adjuster

    Kforce Inc. - Chicago, IL

    standards Coordinate appropriate referral of claims for nurse case management services, transportation, translation ... and investigative services, within company standards Review and appropriate payments for medical treatment within...

    5 days ago from CareerRookie.com

  • Skilled Nursing Medical Biller

    Kforce Inc. - Chicago, IL

    benefits this could be for you! Responsibilities include: Review and edit when necessary, all charges in clinical ... gathering documentation for the purpose of appealing denied claims from payers Assist with chart audits comparing what...

    4 days ago from CareerRookie.com

  • Medical Case Manager - Telephonic/Utilization Review - TMC

    TriStar Insurance Group - Chicago, IL

    through coordination with the patient, physician, claims examiner and employer. Possess excellent ... care being provided. ยท Evaluate treatment requests and review clinical information received with treatment protocols...

    30+ days ago from TRISTAR Insurance Group

  • 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

  • Senior Claims Examiner - 3CU

    Compwest Insurance Co - Chicago, IL

    to determine appropriate referral for physician or nurse review. Proactively assists in appropriate return to work. ... in collaboration with physician and/or nurse expertise...

    12 days ago from Compwest Insurance Co. Inc.

  • Regulatory Claims Operations Analyst

    CNA Financial - Chicago, IL

    Operations Analyst Job Summary Under broad supervision, analyzes business and other data for operations projects. CB1 Essential Duties & Responsibilities 1. Uses problem solving and decision making to document and analyze operational...

    21 days ago from CNA Financial Corporation

  • Life Sciences Claim Specialist

    Continental Casualty Company - Chicago, IL

    effective resolution of more complex claims. 7. Analyzes claims activities. Prepares and presents reports for ... claim information; and to further articulate analyses of claims in internal reports. 10. Ability to handle claims...

    27 days ago from Continental Casualty Company

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