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Claims Review Nurse jobs - San Antonio, TX

Viewing 1 - 10 of 117 jobs

  • Registered Nurse (Compensation and Pension) Frank Tejeda Outpatient Clinic

    U.S. Department of Veterans Affairs - San Antonio, TX

    Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelo ... Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year?s of nursing practice/experi...

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

  • Medical Case Manager - Telephonic/Utilization Review - TMC

    TriStar Insurance Group - San Antonio, TX

    through coordination with the patient, physician, claims examiner and employer. Possess excellent ... care being provided. · Evaluate treatment requests and review clinical information received with treatment protocols...

    30+ days ago from TRISTAR Insurance Group

  • Utilization Mgmt Nurse RN- $3000 Sign on Bonus

    UnitedHealth Group - San Antonio, TX

    May provide guidance and coaching to other utilization review nurses and participate in the orientation of newly ... subject to random drug testing. Job Keywords: Utilization Review Management, Case Management, RN, Registered Nurse,...

    7 days ago from United Health Group

  • Nurse Case Mgr WC Flexible daytime Mon - Fri schedule!

    Hartford - San Antonio, TX

    and disability case management services, which includes review and evaluation of Workers' Comp. claims for ... a clinical background. Qualifications: •Registered nurse with a valid current license in appropriate...

    18 days ago from The Hartford

  • Nurse Medical Mgmt ll / Sr. - Houston, El Paso, San Antonio, Ft. Worth (102031)

    Anthem - San Antonio, TX

    teams, projects and initiatives. The*Nurse Medical Management Sr.*requires * Current active ... M/F/Disability/Veteran./* **Job** *Medical* **Title:** *Nurse Medical Mgmt ll / Sr...

    18 days ago from Anthem, Inc

  • RN - Appeals/Denials Spec II

    Molina Healthcare - San Antonio, TX

    Review experience and two years of Managed Care experience. Familiarity with Medicaid and Medicare claims denials and ... Nurse, Vocational Nurse or Licensed Practical Nurse in good standing. Preferred Education: Associate in Arts or...

    25 days ago from Molina Healthcare, Inc

  • RN Appeals/Denials Specialist II

    Molina Healthcare - San Antonio, TX

    Review experience and two years of Managed Care experience. Familiarity with Medicaid and Medicare claims denials and ... Nurse, Vocational Nurse or Licensed Practical Nurse in good standing. Preferred Education: Associate in Arts or...

    28 days ago from Molina Healthcare, Inc

  • Nurse Practitioner (Mental Health) Frank Tejeda Outpatient Clinic

    Dept. of Veterans Affairs - San Antonio, TX

    Selective Service Registration is required for males born after 12/31/1959.DUTIES: You will work as a Nurse Practitioner ... Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelo...

    15 hours ago from Professional Diversity Network

  • Nurse (Administration)

    Federal Government Jobs - San Antonio, TX

    This is a Direct Hire Solicitation. DUTIES: As a Nurse (Administrative), you will: • Review all medical ... nursing case statuses, and/or reviewing medical claims. This definition of specialized experience is typical of work...

    5 days ago from afro

  • Nurse (Administrator)

    Federal Government Jobs - San Antonio, TX

    (Please follow all instructions carefully) Job Title:Nurse (Administrator) Department:Department of the Army ... -AND- Registered Nurse (RN) Licensure - An active, current registration as a professional nurse in a State, District of...

    3 days ago from afro

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