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Claims Review Nurse jobs - Huntington Beach, CA

Viewing 1 - 10 of 211 jobs

  • Medical Claims Review Nurse

    Healthcare Scouts - Long Beach, CA

    career opportunity for you as a Medical Claims Review Nurse. This position requires an individual who has ... WHAT WE LOOK FOR: Ideal candidates for the Medical Claims Review Nurse position will bring a minimum of 3 years...

    12 days ago from HealthCare Scouts

  • RN Medical Claims Review Nurse

    Healthcare Support Staffing - Long Beach, CA

    Description: We are aggressively seeking a “RN Medical Claims Review Nurse" to assist a large Healthcare ... Claims Review Nurse Company Job Title: Medical Claims Nurse Compensation Notes: $70,000-87,000 USD Shift: M-F...

    10 days ago from ZipRecruiter

  • Medical Claims Review Nurse

    Healthcare Support Staffing - Long Beach, CA

    Information Are you an experienced LVN/RN Medical Claims Review Nurse looking for a new opportunity with a ... to advance your career In LVN/RN Medical Claims Review Nurse by joining a rapidly growing company? If you answered...

    9 hours ago from Healthcare Support Staffing

  • Medical Claim Review Nurse

    Molina Healthcare - Long Beach, CA

    and standardize overall retrospective claims review. Knowledge/Skills/Abilities• Demonstrated ability to ... Review and/or Medical Claims Review. Required Licensure/Certification: Active, Registered Nurse License...

    30+ days ago from Molina Healthcare, Inc

  • Medical Claims Reviewer

    Molina Healthcare - Long Beach, CA

    approaches to improve and standardize overall retrospective claims review. Knowledge/Skills/Abilities * Demonstrated ... Minimum one year Utilization Review and/or Medical Claims Review...

    3 days ago from Molina Healthcare

  • Medical Director for Medical Claims and Code Edit Review

    Molina Healthcare - Long Beach, CA

    denial process. • Reviews cases with concurrent review nurses. • Provides medical expertise for care management • ... Preferred Education: Board Certified (primary care preferred) Preferred Experience: • Peer Review, medical policy/proced...

    30+ days ago from Molina Healthcare, Inc

  • Utilization Review Nurse – Oncology

    New Century Health - Brea, CA

    respond immediately.Summary:The Utilization Review (UR) Nurse is involved with every aspect of the utilization ... referrals, approvals and case preparation for medical review, claims review, request and review medical records.

    30+ days ago from Jobing.com

  • Orange RN Supervisor of Inpatient Concurrent Review - Managed Care

    Carenational Healthcare Services - Santa Ana, CA

    for appropriate application of benefit and providers. The Nurse Supervisor will oversee the review of current ... Performs daily oversight of Concurrent Utilization Review nurse caseloads and makes adjustments as needed for...

    25 days ago from CareNational Healthcare Services, LLC

  • UM Denial Letter Claims Examiner (15005785)

    Heritage Healthcare - Orange, CA

    claims. Responsibilities also may include assisting the Claims Manager and/or Supervisor, and Claims Examiners in ... 15% Follows-up on all claims suspended for review purposes or for additional information requested until claims are in a...

    12 days ago from Heritage Healthcare

  • Claims Examiner III

    St. Joseph Health - Orange, CA

    claims for non-contracted provider and contracted hospital claims for both Commercial and Senior plans within the ... track claims in inventory and follows-up on all claims suspended for review purposes or additional information...

    30+ days ago from St. Joseph Health