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Claims Review Nurse jobs - Louisville, KY

Viewing 1 - 10 of 79 jobs

  • Workers Compensation Claims Unit Manager

    York Risk Services - Louisville, KY

    managed care services including utilization review, bill review, nurse case management, medical provider networks, ... Significant Claims Activities: The UM will be responsible for ensuring that those claims with significant claims activit...

    16 days ago from ZipRecruiter

  • Medical Claim Nurse Case Reviewer - Specialty Pharmacy Programs

    Catamaran - Jeffersonville, IN

    As one of the fastest growing Healthcare Services Companies, there is no better place than Catamaran in which you can join an elite group of professionals to enhance your skills and grow your career. Our vibrant, fast-paced environment...

    30+ days ago from Catamaran Corp.

  • Medical Review Nurse

    NCI Information Systems - Louisville, KY

    Friendly® Employer NCI: As one of the Medical Review Nurse ( Medical Reviewer ) on site in Louisville, KY, you ... Reviews information contained in Standard Claims Processing System files (e.g., claims history,...

    24 days ago from NCI information Systems, Inc.

  • Medical Review Nurse

    NCI - Louisville, KY

    Friendly® Employer NCI: As one of the Medical Review Nurse ( Medical Reviewer III ) on site in Louisville, KY, you ... * Reviews information contained in Standard Claims Processing System files (e.g., claims history,...

    24 days ago from NCI

  • Nurse Medical Management I - Indianapolis, IN - 101913SK

    Anthem - Louisville, KY

    to:* 1. Conducts pre-certification, continued stay review, care coordination, or discharge planning for ... M/F/Disability/Veteran./* **Job** *Medical* **Title:** *Nurse Medical Management I - Indianapolis, IN - 101913SK* **Loca...

    17 days ago from Anthem, Inc

  • Registered Nurse (RN) - Utilization Management Clinical Consultant

    Aetna - Louisville, KY

    experience.LICENSES AND CERTIFICATIONSNursing/Registered Nurse (RN) is requiredFUNCTIONAL EXPERIENCESFunctional - ... - Nursing/Managed Care/1-3 YearsFunctional - Nursing/Claims/1-3 YearsFunctional - Nursing/Case Management/1-3...

    17 days ago from Aetna

  • Clinical Investigator, RN - Risk Adjustment Integrity Unit

    Humana - Louisville, KY

    POSITION DESCRIPTION: Role: RAIU Clinical Nurse Investigator Assignment: Risk Adjustment Integrity Unit Location: Work ... · Understanding of healthcare industry, claims processing and investigative process development. · Experience in a...

    30+ days ago from Humana

  • Nurse Medical Mgmt II, 101478

    Anthem - Louisville, KY

    to: * Conducts precertification, continued stay review, care coordination, or discharge planning for ... **Job** *Medical* **Title:** *Nurse Medical Mgmt II, 101478* **Location:** *AZ-Scottsdate*...

    30+ days ago from Anthem, Inc

  • Psychiatric Nurse Practitioner - Emergency Department (Mental Health)

    Dept. of Veterans Affairs - Louisville, KY

    certifying body. · Board Certified Psychiatric Nurse Practitioner. Education/Experience Requirements: - Nurse I ... VA-Form 10-2850a – Application for Nurse and Nurse Anesthetist (Available at http://www.va.gov... (required).

    5 days ago from IHispano

  • LPN (MPU Clinical Coordinator)

    Federal Government Jobs - Louisville, KY

    Standards Board (a peer-review group) will review the selected candidate's education and experience and ... References: VA Handbook 5005/3, Part II, Appendix G13, Licensed Practical or Vocational Nurse QUALIFICATION STANDARD, da...

    6 days ago from afro

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