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Claims Review Nurse jobs - New York, NY

Viewing 1 - 10 of 288 jobs

  • Senior Risk Manager (RN , BSN)

    Brooklyn Hospital Center - Brooklyn, NY

    you will design a hospital-wide reporting system; review patient records and adverse outcomes; develop and ... programs, and manage malpractice and liability claims, in an ongoing effort to mitigate professional liability...

    2 days ago from Advance for Health Care Jobs

  • Physician- Neurosurgeon Review- PRN

    Concentra - New York City, NY

    JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about ... claims. -Meets regularly with Concentra Physician Review Medical Director to discuss quality of care and...

    7 days ago from HospitalDreamJobs.com

  • Registered Nurse (RN)

    Execu|search Group - New York City, NY

    Registered Nurse (RN) Registered Nurse (RN) Location: Manhattan, NY Salary: Experience: 2.0 year(s) Job Type: Temporary ... experience; 1+ year of Case Management, Utilization Review, or Disease Management experience High School Diploma...

    30+ days ago from Advance for Health Care Jobs

  • Patient Account Representative

    Visiting Nurse Services of Westchester - White Plains, NY

    / Claims, Payments, Write Offs, and other. Reviews patient claims / invoices for accuracy prior to submission for ... Coordinates transmission of e-claims with Billing Manager Mails paper claims / invoices and required documentation withi...

    8 days ago from CareerBuilder

  • HEDIS RN

    Judge Group - New York City, NY

    and contact information. Perform research on internal claims systems. Complete data analysis and research ... Research would be based on Immunization registries, local claims system membership and defaulted claim information.

    12 days ago from ZipRecruiter

  • HEDIS ABSTRACTOR- RN OR LPN

    Judge Group - New York City, NY

    into a specific data base. If necessary the medical record review is conducted on site in provider office or hospital ... actual record reviews. Requirements:Requires a licensed nurse; RN, LPN, LVN.Prior HEDIS experience a plus.Candidates...

    26 days ago from ZipRecruiter

  • Utilization Manager- RN- Clinical Review

    Health Care Center - Brooklyn, NY

    Utilization Review. Certification in Utilization Review or Utilization Management is preferred. Must be ... healthcare services to participants. Documents review information in computer. Communicates results to claims...

    11 days ago from ZipRecruiter

  • HEDIS RN's and LPN's

    Judge Group - New York City, NY

    into a specific data base. If necessary the medical record review is conducted on site in provider office or hospital ... actual record reviews. Requirements: Requires a licensed nurse; RN, LPN, LVN. Prior HEDIS experience a plus.

    27 days ago from ZipRecruiter

  • DRG Reviewer

    Nychsro/medreview - New York City, NY

    Review Organizations (PSROs) for Medicare and Medicaid review. In 2014, NYCHSRO is observing its fortieth (40th) ... to ensure the timely completion of the review Record review decisions and justifications for changes requested or...

    2 days ago from ZipRecruiter

  • HEDIS Nurse

    Judge Group - Iselin, NJ

    requirements. Required to perform research on internal claims systems. Reviews require data analysis and research ... reliable transportation is required. Requires a licensed nurse; RN, LPN, LVN, Licensed professional graduate of an...

    8 days ago from ZipRecruiter

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