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Claims Review Nurse jobs - Hines, IL

Viewing 1 - 10 of 200 jobs

  • CASE MANAGER RN (CHS) FT Days

    Tenet Health - Westmont, IL

    Remains current on managed care QA/UR practices through the ongoing review of the appropriate journals and participation ... Specialized training in utilization review and QA practices and/or case management in a managed care setting preferred...

    30+ days ago from Nurse.com

  • Intake Registered Nurses

    Chicago, IL

    seeking a qualified candidate to fill an Intake Registered Nurse opportunity for one of our clients, a major managed ... with Medical Director on difficult cases Utilization Review, Registered Nurse, RN, Utilization Management, Intake...

    16 days ago from CareerBuilder

  • Medical Review Nurse- Direct Placement

    Maxim Facility Nursing - Westmont, IL

    Staffing Solutions is currently hiring a Medical Review Nurse for a direct placement opportunity in Westmont, IL. ... review required. Position Purpose: Perform retrospective review of large hospital and physician claims for admission...

    23 days ago from Maxim Facility Nursing

  • Medical Review Nurse

    Centene - Westmont, IL

    retrospective review of large hospital and physician claims for admission appropriateness, coding, length of stay, and pricing and review retrospective medical necessity appeals ... License/Certification: Licensed or Registered Nurse...

    30+ days ago from Centene

  • Medical Review Nurse (RN) Opening in Chicago Suburbs

    Premiere Onboard - Chicago, IL

    retrospective review of large hospital and physician claims for admission appropriateness, coding, length of ... License/Certifications: Registered Nurse with an active IL license Primary Location: Westmont, IL – Chicago suburbs...

    24 days ago from Premiere Onboard

  • Medical Review Nurse- Direct Placement

    Maxim Healthcare - Westmont, IL

    Staffing Solutions is currently hiring a Medical Review Nurse for a direct placement opportunity in Westmont, IL. ... review required. Position Purpose: Perform retrospective review of large hospital and physician claims for admission...

    21 days ago from HealthJobsNationwide.com

  • RN Utilization Review

    Sedgwick Claims Management Services - Aurora, IL

    criteria and jurisdictional guidelines to form utilization review determinations. Pursues Physician Advisor services ... Documents all utilization review outcomes in utilization review software. Communicates and works with claim examiners...

    9 days ago from InsuranceJobs.com

  • Medical Records Reviewer

    Beacon Hill Staffing Group - Chicago, IL

    of the Medical Records Review Paralegal is to review, analyze and prepare substantive chronologies of ... Review the chart and identify missing records as compared to injury claims...

    6 days ago from Beacon Hill Staffing Group, LLC

  • Claims Specialist - Aging Services Medical Malpractice

    CNA - Chicago, IL

    and coordination. Individual should be able to utilize claims policies and guidelines, review coverages, determine ... regarding the handling and/or disposition of more complex claims. 7. Analyzes claims activities and prepares reports...

    5 hours ago from Disabled Persons

  • Claim Operations Technician - Cashier Team

    CNA - Chicago, IL

    reports for data or financial transactions related to claims. 9. May perform routine processing within designated authority following jurisdictional parameters. 10. May complete special projects as necessary. 11. May perform additional...

    5 hours ago from Disabled Persons