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Claims Review Nurse jobs

Viewing 21 - 30 of 10,441 jobs

  • Utilization Review Nurse (RN)-Outpatient

    Korak Global Healthcare Services - Glen Burnie, MD

    process and procedure, medical review, non-clinical review, clinical review, talent acquisition, talent ... experience 1 year of managed care and/or utilization review experience Knowledge and expertise in utilizing...

    22 days ago from ZipRecruiter

  • Utilization Management Nurse Reviewer - Care Transitions

    Medical Mutual - Toledo, OH

    Utilization Management Nurse Reviewer - Care Transitions Job Title: Utilization Management Nurse Reviewer - Care ... OH Post Date: 02/25/2015 Job Description: Care Transitions Nurse Reviewer Reports to: Supervisor Location: Toledo We...

    30+ days ago from TweetMyJobs

  • Vice President, Complex Claim Liability Specialist, Oil & Gas

    Leading American Insurance Company - Houston, TX

    for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and ... claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal...

    13 days ago from IvyExec

  • Claims Investigator

    Leading Operator of Health Care Facilities - Nashville, TN

    (required) •Experience with STARS claims information system (desired) •Working knowledge of medical and legal ... •Ability to prioritize, handle multiple claims with due dates and time management skills(required) Risk...

    22 days ago from IvyExec

  • UM/Concurrent Review Nurse

    Catholic Health Initiatives - Federal Way, WA

    Summary The primary role of the Utilization Management/Concurrent Review Nurse is to review and monitor members’ utiliza ... appropriate referral to case management, and high dollar claims review. This position will be considered for...

    30+ days ago from MiracleWorkers.com

  • Claims Risk Manager - Workers' Compensation

    Stephenson & Brook - Boston, MA

    of multiple accounts involving worker's compensation claims and client relations. Follow through from onset of ... experience as a claims adjuster, claims specialist, or claims examiner a Plus Salary Range - $60-75K, commensurate...

    23 days ago from ZipRecruiter

  • Quality Control Review Registered Nurse RN

    Primus Global Services - Fort Worth, TX

    Responsible for ensuring and maintaining MCS Bill Review database integrity by reviewing IB line item ... Errors Maintains constant communications with the Medical Review Department regarding unusual billing practices and...

    12 days ago from CareerVitals.com Healthcare Job Board

  • Nurse Reviewer Registered Nurse RN

    Zenith American Solutions - San Francisco, CA

    Function: Performs medical review and investigation of claims including complex claims to determine medical ... client needs and legislative requirements General Duties: Review claims to ensure the services are not experimental...

    18 days ago from CareerVitals.com Healthcare Job Board

  • Vice President, Complex Claim Liability Specialist

    Leading American Insurance Company - St Paul, MN

    for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and ... - Evaluate all claims for recovery potential; directly handle recovery efforts and/or engage and direct Company resource...

    21 days ago from IvyExec

  • RN Reviewer - Healthcare

    Kepro - Harrisburg, PA

    Nurse Reviewer - RN Coordinates the expert peer review process ensuring timely and accurate reviews. ... HRSA FTCA claims within specified timeframes. Prepare claims for physician advisor review. Reviews medical record...

    3 days ago from MiracleWorkers.com

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