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Claims Review Nurse jobs - Chicago, IL

Viewing 41 - 50 of 263 jobs

  • Senior Ceded Reinsurance Claims Analyst

    CNA Financial - Chicago, IL

    with direct claims areas. Works on ceded reinsurance claims under complex Treaties and/or Facultative ... claims staff and other functional areas. Analyzes claims activities; prepares and presents reports to...

    30+ days ago from CNA Financial Corporation

  • Nurse Audit Sr- 98745

    Anthem - Chicago, IL

    by health care providers through prepayment claims review, post payment auditing, and provider record review. ... Medical claims review with prior health care fraud audit/investigation experience preferred...

    14 days ago from Anthem

  • 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...

    30+ days ago from Sedgwick Claims Management Services, Inc.

  • Registered Nurse (RN) - Reusable Medical Equipment Educator/Coordinator (RME)

    Federal Government Jobs - Hines, IL

    Registered Nurse (rn) Registered Nurse (rn) Reusable Medical Equipment Educator Coordinator Rme Job in HINES, IL Vacancy ... NOTE: The Professional Standards Board (a peer-review group) will review the selected candidate's education and...

    30+ days ago from afro

  • Registered Nurse Job(7317)

    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 the...

    19 days ago from Wexford Health


    Usps - Chicago, IL

    Management and assists in the development and Periodic review of a local Crisis Management Plan; ability to assist ... REQUIREMENT: Applicant must possess a current Registered Nurse license from a U.S. state, territory, or the District...

    17 days ago from USPS

  • 2nd Shift Pharmacy Technician/Billing Adjudicator

    Omnicare - Des Plaines, IL

    Adjudicator is responsible for preparing and submitting claims for accounts and works with nursing facility staff, ... of claims. * Review and research rejected Third-Party claims taking appropriate action to resolve. * Work backlog...

    30+ days ago from Omnicare

  • Medical Case Manager - Bilingual Spanish - Workers Compensation

    Crawford & Company - Chicago, IL

    * CCM, COHN, CRRN or CDMS certification , , KEYWORDS: nurse, field case manager, occupational health nurse, ... office nurse, return to work, injured worker, registered nurse, nursing, work from home, claims, claim, adjuster,...

    8 days ago from Crawford & Company

  • Medical Director

    International Search Consultants - Chicago, IL

    protocols and rules of conduct are followed. Review claims and appeals, and resolve grievances related to medical quality of care. Participate in regulatory, professional and community activities to provide input and become knowledgeable...

    25 days ago from International Search Consultants

  • Quality Management Liaison

    Anchor Staffing - Chicago, IL

    PHD, licensed advanced practice nurse with psychiatric specialty, or licensed clinical psychologist ��� Two years ... etc.) a plus Access to Confidential Information Adheres to all policies on confidentiality defined by HIPAA...

    30+ days ago from Anchor Staffing Inc.

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