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Claims Review Nurse jobs - Downers Grove, IL

Viewing 1 - 10 of 178 jobs

  • Registered Nurse

    Wexford - Crest Hill, IL

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... DUTIES/RESPONSIBILITIES The Registered Nurse shall provide a broad range of services to the center including screening,...

    5 days ago from Wexford

  • Licensed Practical Nurse (LPN)

    Wexford - Crest Hill, IL

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... DUTIES/RESPONSIBILITIES The Licensed Practical Nurse shall provide a range of services to the center including assessmen...

    2 days ago from Wexford

  • Registered Nurse Supervisor

    Wexford - Crest Hill, IL

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... to offer a competitive benefits package including: Annual review with performance increase Generous paid-time off...

    11 days ago from Wexford

  • Claims Specialist - General Liability/Commercial Auto

    CNA - Lisle, IL

    information, and settles claims utilizing established claims policies and guidelines. Utilizing claims policies ... effective resolution of more complex claims. 7. Analyzes claims activities. Prepares and presents reports for...

    9 hours ago from Glass Door

  • Utilization Review Nurse RN

    CorVel - Downers Grove, IL

    Review nurse handling workers' compensation cases. The U.R. Nurse gathers demographic and clinical information on ... the UR determination process. JOB DUTIES: The Utilization Review Nurse must identify the necessity of the review...

    30+ days ago from CareerBuilder

  • Hospital Charge Auditor – RN

    Change Healthcare - Lombard, IL

    of both inpatient and outpatient hospital claims as assigned. This posting is for a position that would be ... • Two years medical claim review/hospital charge audit experience or experience as either a utilization nurse or nurse...

    22 days ago from CareerBuilder

  • Registered Nurse (RN) - Specialty Clinics

    VHA - Chicago, IL

    Registered Nurse (RN) - Specialty Clinics Chicago, IL Duties: The Ambulatory Care Staff Nurse functions as an integral ... document. NOTE: The Professional Standards Board (a peer-review group) will review the selected candidate's education...

    3 days ago from HealthJobsNationwide.com

  • Nurse - RN

    North Shore Senior Center - Northfield, IL

    In alignment with company mission, vision and values, the Nurse - Care Manager coordinates and manages service delivery ... Assist with: selecting appropriate insurance, navigating Medicare/insurance rules, filing and managing insurance claims,...

    2 days ago from CareerBuilder

  • APRN-(CNS or NP) - Sexual Health Clinic

    VHA - Chicago, IL

    to Clinical Nurse Specialists. EDRP benefits only apply to Nurse Practitioners. WORK SCHEDULE: Monday through Friday - ... The Professional Standards Board (a peer-review group) will review the selected candidate's education and experience and...

    8 days ago from HealthJobsNationwide.com

  • RN Utilization Review

    Sedgwick Claims Management Services - Aurora, IL

    and jurisdictional guidelines to form utilization review determinations. Pursues Physician Advisor services when ... vendors as necessary Documents all utilization review outcomes in utilization review software. Communicates and...

    29 days ago from Sedgwick Claims Management Services, Inc