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Claims Review Nurse jobs - Des Plaines, IL

Viewing 1 - 10 of 284 jobs

  • CASE MGR - PHO - UTILIZATION REVIEW (71432)

    Advocate Health Care Network - Chicago, IL

    patients identified by Decision Support tools, referrals, claims. Accountabilities: 1. Works under the supervision of a ... using decision support tools, inpatient/ER admissions, claims and physician referral mechanisms. 5. Patient and...

    30+ days ago from Advocate Health Care

  • Utilization Review RN

    Sedgwick - Chicago, IL

    Utilization Review RN Utilization Review Registered Nurse CLAIM YOUR FUTURE AS A GREAT PERFORMER!Continuing double-digit ... review services; i.e., administrative continued stay review.Evaluates need for alternative treatment through...

    4 days ago from Get Nursing Jobs

  • Quality Review Core Measures, Registered Nurse, RN.

    Advanced Resources - Oak Park, IL

    Job Number: 422035Quality Review Core Measures, Registered Nurse, RN.An exciting opportunity exists on the near west ... to Performance Improvement, Patient Satisfaction, Peer Review, Performance Measures, and Regulatory Agencies...

    14 days ago from CareerBuilder

  • Risk Manager RN/Registered Nurse (2014-0116 )

    Rush University Medical Center - Chicago, IL

    AND MANAGE CLAIMS A. Potential Liability Claims - * Execute a detailed review of the potential ... management of the potential claims. * Notify potential claims to the excess insurance carriers, summarizing...

    30+ days ago from Rush University Medical Center

  • Nurse Case Manager Advocate

    Cameron Craig Group - Chicago, IL

    Clients on ways to reduce or eliminate their claims, e.g. review of loss histories for trends requiring re-training, ... QUALIFICATIONS: A. Education: Nursing Degree B. Five years claims experience C. Competencies /Skills: ? Good...

    1 day ago from ZipRecruiter

  • Compliance Specialist - Registered Nurse / RN- Central

    Maxim Staffing - Chicago, IL

    review for claims testing activities Assists with clinical review for issues investigation and resolution Performs ... nurse management, nurse manager, RN director, registered nurse director, visit nurse, admission nurse, skilled visit,...

    30+ days ago from MiracleWorkers.com

  • 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...

    21 days ago from CareerBuilder

  • Compliance Specialist - Registered Nurse / RN- Central

    Maxim Healthcare Services - Chicago, IL

    review for claims testing activities Assists with clinical review for issues investigation and resolution Performs ... nurse management, nurse manager, RN director, registered nurse director, visit nurse, admission nurse, skilled visit,...

    30+ days ago from MiracleWorkers.com

  • Telephonic Triage Registered Nurse, RN.

    Advanced Resources - Des Plaines, IL

    Review and Case Management.Must have an active Registered Nurse Licensed in the State of Illinois.Registered Nurses ... such as: registrars, medical billing specialists, medical coders, claims processing and medical collection...

    14 days ago from CareerBuilder

  • Quality Review Nurse / RN

    Chicago, IL

    Kelly Healthcare Resources has an urgent need to fill an exciting, contract Quality Review Nurse / RN position with our ... RN license in the state of Illinois 5+ years of health claims and mainframe system experience Experience with...

    1 day ago from Jobvertise

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