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Claims Review Nurse jobs - New York, NY

Viewing 1 - 10 of 164 jobs

  • RN Case Managers Needed

    Axion - White Plains, NY

    appropriateness through direct observation, documentation review, and conferences. 6. Leads team conferences and ... Collaborates with finance department, claims processing agency and managers on services that are authorized and/or denie...

    30+ days ago from CareerBuilder

  • Nurse Investigator

    Fojp Service - New York City, NY

    meetings, risk management education programs and claim review activities. The Professional Liability Investigator ... adverse patient incidents; and provides claims administration and litigation management services. Through...

    3 days ago from

  • Claims Manager - Risk Management - Registered Nurse (RN)

    North Shore-lij Health System - Great Neck, NY

    Claims Manager - Risk Management - Registered Nurse (RN) Description Participates in the management of a Claims ... in all aspects of claims management. 3) Monitors claims impacting on the Health System’s Insurance Captive...

    30+ days ago from

  • Clinical Quality Assurance Auditor, RN

    Healthfirst - New York City, NY

    degree from an accredited institution. NYS Registered Nurse (RN) license. Experience in medical records review or ... Work experience in medical records review, claims processing or utilization/case management in a clinical...

    13 hours ago from

  • Compliance Specialist

    Visiting Nurse Service of New York - Manhattan, NY

    Overview: Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system. VNSNY provides a comprehensive array of home- and community-based programs, including health plans, tailored to the...

    16 days ago from

  • HEDIS Review Nurse

    Kelly Services - New York City, NY

    HEDIS Review Nurse CONTRACT EMPLOYMENT 14 weeks LOCATION: Manhattan, NY Every day, Kelly Services connects professionals ... currently have an exciting contract opportunity for HEDIS Review Nurse with our large medical insurance client. This...

    12 days ago from Kelly Services

  • Ocean Marine Claims Specialist

    CNA Financial - New York City, NY

    resolution of more complex claims. 7. Analyzes claims activities. Prepares and presents reports for management. May ... decisions effectively assessing the merits of claims as well as evaluating claims based on a cost benefit...

    22 days ago from CNA Financial Corporation

  • Claims Counsel - Risk Management

    North Shore-lij Health System - New York City, NY

    of claims as assigned\. You will prioritize and monitor claims filed; evaluate insurance coverage; ensure reporting ... Claims Administrator and Insurance Broker in all aspects of claims management\. 3\. Monitors claims impacting on the...

    30+ days ago from North Shore-LIJ Health System

  • Retrospective Review LPN

    Healthcare Support Staffing - Newark, NJ

    Information Are you an experienced Retrospective Review LPN in Newark, NJ area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a company that provides on-going...

    1 day ago from Healthcare Support Staffing

  • Retrospective Review Nurse

    All Medical Healthcare Staffing - Newark, NJ

    and reports communication with internal departments such as Claims and Appeals and contact/communication with clinical ... Managed care experience Preferred -Licensed Practical Nurse (LPN) Required -Ability to create review and interpret...

    30+ days ago from