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Claims Review Nurse jobs - Chicago, IL

Viewing 51 - 60 of 236 jobs

  • Risk Manager - (MJ29002)

    University of Chicago Hospitals - Chicago, IL

    office and refer any potential claims/lawsuits to the claims analysts and the attorneys. JOB QUALIFICATIONS: ... Risk Management, Quality Assurance or Utilization Review is beneficial. Experience in data/trend analysis and...

    6 days ago from Nurse.com

  • Quality Improvement Coordinator II

    Centene - Westmont, IL

    Position Purpose: Conduct review of delegated entities for compliance with quality, service performance and utilization, ... related to quality of care issues. Audit medical records, review administrative claims and analyze data and...

    30+ days ago from Centene

  • Patient Service Specialist (Part Time 20-29 hrs Lincoln Park

    ATI Physical Therapy - Chicago, IL

    activities required to ensure accurate billing and clean claims. Individual is also responsible for assisting ... others, physicians, physician office staff, attorneys and nurse case managers. Clearly communicates with all ATI...

    3 days ago from ATI Physical Therapy

  • DRG Validation Auditor (Remote)

    CGI Group - Chicago, IL

    quality assurance is provided through a well-defined review and quality management program performed by the ... for every medical record review resulting in a DRG Review Results letter, including supporting references. -...

    5 days ago from CGI Group Inc

  • Credentialing Coordinator

    Athletico - Westmont, IL

    change in ownership, reporting of malpractice claims, etc • Complete letters, applications, and documentation related to credentialing in an accurate and timely manner. • Inform and update Payor Relations and reimbursement with newly...

    4 days ago from Athletico

  • Sr. Tech Spec Specialty Liab

    Travelers Insurance - Chicago, IL

    Knowledge - IntermediateDirectly handles assigned severity claims. Provides quality customer service and ensures ... for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse...

    30+ days ago from Travelers Insurance

  • Human Resources Director Job

    HCR Manor Care - Wilmette, IL

    EEO guidelines. • Monitors unemployment claims and participates in associated hearings. • Ensures that supervisors/managers provide accurate and timely performance appraisals. • Monitors the disciplinary process for consistency. •...

    6 days ago from HCR ManorCare

  • Registered Nurse (RN) - Renal Dialysis Unit (RDU)

    Federal Government Jobs - Hines, IL

    Registered Nurse (rn) Registered Nurse (rn) Renal Dialysis Unit Rdu Job in HINES, IL Vacancy No. HN-15-MC-1456954-BU ... NOTE: The Professional Standards Board (a peer-review group) will review the selected candidate's education and...

    8 days ago from The AFRO-American

  • Physician

    Heartland Alliance - Chicago, IL

    and collaborative peer review: o Evaluating care based on clinical standards through the quality improvement ... Review process. • Professionalism – Approaches others in a tactful manner; Reacts well under pressure; Treats others...

    7 days ago from Heartland Alliance

  • Registered Nurse (RN) - Community Living Center (CLC)

    Federal Government Jobs - Hines, IL

    /wEPDwUKMTU2OTMzMzY3OWRkaMnVu4+eTMdUTxJBM+h+LNIPFvxwCVRY+g+HYt431PA= Registered Nurse (rn) Registered Nurse (rn) Communi ... closes, we will review applications to ensure qualification and eligibility requirements are met. During our review,...

    14 days ago from Fosters Daily Democrat