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Claims Review Nurse jobs - Des Plaines, IL

Viewing 1 - 10 of 292 jobs

  • Nurse Case Manager Advocate

    Alper Services - Chicago, IL

    QUALIFICATIONS: Education: ??? Nursing Degree Five years claims experience ? Competencies /Skills: Good understanding of ... Outlook, Power Point, Excel) Category: Case Management, Nurse Practitioner, Employee Health, Miscellaneous,...

    6 days ago from


    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...

    17 hours ago from Advocate Health Care

  • 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

  • Nurses - Travelers is Hiring Veterans- Various locations countrywide

    Travelers - Naperville, IL

    jurisdictions. For nurses handling Workers Compensation Claims, perform Utilization Review according to established ... EDUCATION/COURSE OF STUDY: Registered Nurse or other qualified health professionals...

    30+ days ago from

  • Director of Case Management / RN / Utilization Review Nurse

    Biologics - Chicago, IL

    for the organization Oversee the provider contracting and claims review functions Oversee the development, ... for prospective, concurrent and retrospective utilization review procedures Collect, analyze and maintain data regarding...

    16 days ago from CareerBuilder

  • Clinical Quality Review Nurse RN/LPN

    Confidential Search Solutions - Chicago, IL

    accreditation and regulatory requirements. Clinical Quality Review Specialist will participate in department initiatives ... 5 years health claims and mainframe system experience Experience with internal/external customer relations Knowledge of...

    17 days ago from CareerBuilder

  • RN Nurse Medical Mgmt I, II, Sr - Medicare Advantage - 90541

    WellPoint - Deerfield, IL

    in interpreting appropriateness of care and accurate claims payment. * May also manage appeals for services ... preferred. * Managed care experience preferred. * Medical Review experience is preferred. * Requires strong verbal and...

    3 days ago from

  • Utilization Review RN

    Sedgwick - Naperville, 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...

    3 days ago from Get Nursing Jobs

  • RN Medical Case Manager

    Medical Management Innovations - Chicago, IL

    to learn more about the position and our company. After review of the FCM and company overview videos, please follow ... contact with all parties of workers’ compensation claims Reading and interpreting medical and professional...

    22 hours ago from

  • Utilization Review Registered Nurse

    Advanced Resources - Chicago, IL

    Nurse in the State of Illinois.Experienced Utilization Review Registered Nurses from a Managed Care or Inpatient ... or Physician Review.Track ongoing status of all utilization review activity so that appropriate turnaround times are...

    30+ days ago from CareerBuilder

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