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Claims Review Nurse jobs - San Antonio, TX

Viewing 1 - 10 of 109 jobs

  • Clinical Claims Review Nurse, RN - Telecommute Nationwide

    UnitedHealth Group - San Antonio, TX

    reviews of physician and outpatient hospital claims, following Medicare guidelines and UnitedHealthcare ... Clinical claims review, RN, Nurse, Registered Nurse, claims review, claims, utilization management, clinical,...

    1 day ago from UnitedHealth Group

  • Utilization Review Nurse

    Express Employment Professionals - San Antonio, TX

    orker’s Compensation Company is looking for a Utilization Review Nurse in San Antonio. This position will work 3 days ... and market Utilization Review products with attorneys and claims examiners; strong ability to negotiate provider fees...

    14 days ago from Express Services, Inc

  • Licensed Vocational Nurse (Frank Tejeda Outpatient Clinic)

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

    licensure as a licensed practical or vocational nurse nurse in a State, Territory or Commonwealth (i.e. ... * 1-Full-Time * 0620-Practical Nurse * Active * https://ApplicationManager.gov..

    3 hours ago from U.S. Department of Veterans Affairs

  • Nurse Medical Management I - San Antonio, Texas - #98165

    AMERIGROUP - San Antonio, TX

    Texas with the option to telecommute after training. The Nurse Medical Management I is responsible for collaborating ... in interpreting appropriateness of care and accurate claims payment. * May also manage appeals for services...

    4 days ago from Amerigroup

  • Nurse Medical Management I - San Antonio, Texas - #98165

    Anthem - San Antonio, TX

    Texas with the option to telecommute after training.* The Nurse Medical Management I is responsible for collaborating ... in interpreting appropriateness of care and accurate claims payment. * May also manage appeals for services...

    9 days ago from Anthem

  • 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...

    11 days ago from Molina Healthcare, Inc

  • Utilization Management Nurse RN, WellMed

    UnitedHealth Group - San Antonio, TX

    guidance and coaching to other utilization review nurses and participate in the orientation of newly hired ... Preferred Education, Experience & Skills * Previous Prior Authorization experience * Utilization Review/Management exper...

    16 days ago from UnitedHealth Group

  • RNAC - Registered Nurse Assessment Coordinator

    Diversicare Healthcare Services - San Antonio, TX

    strong voices and intellect. RNAC – Registered Nurse Assessment Coordinator We are seeking a Registered Nurse ... in billing reviews (Triple Check) to ensure claims have supporting MDS assessments documents. Participates...

    17 days ago from Diversicare Healthcare Services Inc.

  • RN Field Nurse Clinician Medicare/Medicaid

    WellPoint - San Antonio, TX

    Term Support Services Coordinator - RN Clinician(RN Field Nurse Longterm Care Services) Work-At-Home Opportunity ... plans. * May also assist in problem solving with providers, claims or service issues. * Directs and/or supervises the...

    30+ days ago from WellPoint, Inc

  • Licensed Vocational Nurse (Community Living Center)

    Dept. of Veterans Affairs - San Antonio, TX

    Professional Standards Board (a peer-review group) will review the selected candidate’s education and experience and ... licensure as a licensed practical or vocational nurse nurse in a State, Territory or Commonwealth (i.e. Puerto...

    2 days ago from Women's Career Channel

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