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Claims Review Nurse jobs

Viewing 11 - 20 of 8,845 jobs

  • Care Manager Registered Nurse, Utilization Management

    Archcare - New York City, NY

    and appropriatesness of services for PACE DD commuicates to nurse care managers and medical management staff ... Demonstrated skills in planning, organizing and directing nurse, care management, service utilization functions within...

    27 days ago from ArchCare

  • Fraud Investigator II, Healthcare Provider Review

    Umass Medical School Commonwealth Medicine - Charlestown, MA

    data mining and data analysis techniques utilizing claims data to detect aberrancies and outliers in claims and ... related experience. Knowledge of coding, reimbursement and claims processing policies. Knowledge of the principles and...

    2 days ago from HigherEdJobs

  • 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...

    4 days ago from Nurse.com

  • Clinical Manager of Medical Review - Milwaukee, WI JD

    Executive Staff Recruiters - Voorheesville, NY

    Clinical Manager of Medical Review - Milwaukee, WI JDFull-timeUnited States - MilwaukeeDescriptionMgr NGS Medical ... in interpretingappropriateness of care and accurate claims payment. Conducts pre-certification, and...

    25 days ago from Get Physician Jobs

  • Payment Compliance Nurse

    HCA Healthcare - Franklin, TN

    Job Summary – The Payment Compliance Nurse will review post write off denials to determine if accounts written off met ... dollar denials. Candidate will demonstrate ability to review available documentation, clinical information and...

    14 days ago from HCA Healthcare

  • Athletic Trainer PRN

    HCA Healthcare - Independence, MO

    Program and a state-of-the-art Breast Center with a nurse navigator * Neuroscience Services for the treatment of brain and spine disorders as well as injuries * Women’s Services, including the only Level III Neonatal Intensive Care Unit in...

    11 days ago from HCA Healthcare

  • Certified Nursing Assistant (CNA)

    Wexford - Mount Olive, WV

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... to offer a competitive benefits package including Annual review with performance increase Generous paid-time off...

    10 days ago from Wexford Health

  • Director of Risk Management- RN

    Archcare - New York City, NY

    necessary for directing the facilities loss, prevention and claims management initiatives. Among other things, carrying ... compliance. * Participate with Senior Facility and Nurse Management teams in strategic planning, discussing...

    27 days ago from ArchCare

  • Manager of Utilization Management

    Nurse Management - York, PA

    Team and Denial Team, as well as insure that denied claims are appealed in a timely manner. The Utilization ... records required to appeal medical denials for payment of claims. The Manager of Case Management and Utilization...

    2 days ago from NurseManagement.com

  • Clinical Quality Assurance RN

    All Medical Personnel - Loves Park, IL

    Type: ClinicJob Duties: Quality assurance audits on peer review reports Ensure case reports are in compliance with ... At least 1 year of experience in utilization review, peer reviews, claims management, worker's...

    22 days ago from Get Nursing Jobs