Jobs by Simply Hired

Search for Jobs

Job Title, Skills, or Company

City, State, or ZIP

Claims Review Nurse jobs - Huntington Beach, CA

Viewing 1 - 10 of 149 jobs

  • Clinical Admin Nurse, Appeals

    UnitedHealth Group - Cypress, CA

    Admin Nurses! This position will handle the clinical review of appeals and will be responsible for completing ... RN, nurse, clinical, appeals, case management, utilization review, utilization management, managed care, CPT, ICD 9,...

    7 days ago from UnitedHealth Group

  • Nurse Practitioner (Mental Health)

    U.S. Department of Veterans Affairs - Long Beach, CA

    VA Form 10-2850a - Application for Nurse and Nurse Anesthetist (Available at http://www.vacareers.va.gov.. ... Copy of BLS * 1-Full-Time * 0610-Nurse * Active * https://ApplicationManager.gov... * 15317-Permanent * 2014-01-10T02:4...

    3 days ago from U.S. Department of Veterans Affairs

  • RN Medical Case Manager - Workers Compensation

    Travelers - Diamond Bar, CA

    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 MiracleWorkers.com

  • Utilization Management Registered Nurse

    Torrance, CA

    and compliance. The UM RN is responsible for reviewing claims and authorization requests for medical necessity, ... Torrance Hospital IPA policy and procedure Reviews claims for medical necessity Accurately and comprehensively...

    1 day ago from CareerBuilder

  • Legal Nurse Consultant

    Farmers Insurance Group - Long Beach, CA

    work environment.Our Nurse Consultant will:Collaborate with Claims Representatives and Defense Council on claims ... by managementPresent medical training and education to claims staffReview and analyze expert witness reports and...

    2 days ago from Get Legal Nurse Consultant Jobs

  • Nurse Practitioner (PACT)

    U.S. Department of Veterans Affairs - Anaheim, CA

    The Primary Care Nurse Practitioner, at all times, conducts him/herself in a professional manner treating patients, visi ... documented on the Application for Employment – Nurse and Nurse Anesthetists (VA Form 10-2850a). * Two (2) to three (3)...

    3 days ago from U.S. Department of Veterans Affairs

  • Nurses - Travelers is Hiring Veterans- Various locations countrywide

    Travelers - Diamond Bar, CA

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

    28 days ago from MiracleWorkers.com

  • RN, Clinical Claims Review

    Healthcare Partners - Torrance, CA

    seeking aRN, Clinical Claims Review:Responsiblefor review, research and complete retrospective clinical claims ... and trends identified during retrospective claims review.* Develops and assists with the maintenance of...

    9 days ago from IHispano

  • Utilization Review Nurse (RN) – Oncology

    New Century Health - Brea, CA

    The Utilization Review Nurse (URN) is involved with every aspect of the utilization process to include: case receipt and ... referrals, approvals and case preparation for medical review, claims review, request and review medical records.

    30+ days ago from Jobing.com

  • Care Management Review Nurse

    Western Growers - Irvine, CA

    Collect, review, and submit to Anthem all documentation required to process life claims ... and contracts. Good understanding of health benefits claims processing. Expert in current claims coding...

    30+ days ago from OneWire

Post a Job on BusinessWeek.com

Post a Job

Reach millions of talented professionals