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Claims Review Nurse jobs

Viewing 11 - 20 of 11,625 jobs

  • Claim Manager

    Masonicare - Wallingford, CT

    in order to eliminate or minimize potential liability claims, to include creation of waivers 3. Reviews all ... Licenses: Registrations: Registered Nurse (RN) preferred. Key Competencies: Outstanding...

    30+ days ago from Masonicare

  • Liability Claims Analyst

    Kindred- Kindred Hospital - Louisville, KY

    summaries of investigations of care and medical records review. * Attends mediations to assist Liability Claims ... claims under the authority and guidance of the Liability Claims Counsel or Specialist. * Consults with Risk...

    8 hours ago from Kindred- Kindred Hospital

  • Utilization Review Nurse

    Santa Clara Family Health Plan - Campbell, CA

    We are seeking a Utilization Review Nurse who will be responsible for the day-to-day utilization review for inpatient an ... Review outpatient prior authorization requests and/or retrospective requests through claims review and incoming requests...

    9 days ago from

  • Senior Claims Specialist

    Detroit Medical Center - Detroit, MI

    Job Title Senior Claims Specialist Job Location Name Detroit Receiving Hospital/UHC Job Description Under general direct ... loss time claims management preferred, including claims experience in litigation management in related areas.

    1 day ago from Detroit Medical Center

  • Utilization Review Nurse

    AIG Financial Advisors - Dallas, TX

    Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance. Conduct prospective, concurrent and retrospective reviews to determine medical...

    21 days ago from

  • Clinical Review Nurse / RN / LPN

    Kelly Healthcare Resources - Wilkes-Barre, PA

    CLINCAL REVIEW NURSE / RN / LPNKelly Healthcare Resources currently has an urgent need for a contract Clinical Review Nu ... Nurse, Medical Review Officer, MRO, Medical Review Nurse, Medical Records Review Nurse, Medical Claim Review,...

    24 days ago from CareerBuilder

  • Sr Nurse Reviewer I - Work from Home from Any State - Broads

    Crawford & Company - Sunrise, FL

    account criteria and case management strategies to review claims, identify early potential recovery obstacles ... resources. Utilizes information system reports to identify claims requiring subsequent reviews Utilizes evidenced based...

    16 days ago from

  • Medical Reviewer RN

    Blue Cross Blue Shield of New Mexico - Albuquerque, NM

    accurate and timely medical review of professional provider claims suspended for medical necessity contract ... interpretations. JOB REQUIREMENTS: *Registered Nurse with current, active, unrestricted Registered Nurse...

    2 days ago from Professional Diversity Network

  • Utilization Review RN

    Sedgwick - Naperville, IL

    Utilization Review RN Utilization Review Registered Nurse CLAIM YOUR FUTURE AS A GREAT PERFORMER!Continuing double-digit ... review services; i.e., administrative continued stay review.Evaluates need for alternative treatment through...

    2 days ago from Get Nursing Jobs

  • Registered Nurse - RN Utilization Review - Management

    Maxim Healthcare Services - San Jose - San Jose, CA

    1. Minimum current California Licensed Vocational Nurse (LVN)  (E). 2. Minimum 2 years’ Medical/Surgical clinical ... 3. Review outpatient prior authorization requests and/or retrospective requests through claims review and incoming reque...

    9 days ago from ZipRecruiter

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