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Claims Review Nurse jobs

Viewing 21 - 30 of 10,117 jobs


    Confluence Health - Wenatchee, WA

    REIMBURSEMENT NURSE REVIEWER Come to Sunny, Scenic North Central WA Where You Can Have a Perfect Work-Life Balance in ... Join our Medical Information team as a REIMBURSEMENT NURSE REVIEWER , you will be researching and preparing...

    30+ days ago from HEALTHeCAREERS Network

  • RN Case Manager PRN

    HCA Healthcare - Lone Tree, CO

    through the continuum of care. Performs concurrent clinical review to determine appropriateness of admission and ... care setting. Performs telephonic clinical reviews with claims insurance personnel to facilitate reimbursement for...

    2 days ago from HCA Healthcare

  • Licensed Practical Nurse (LPN)

    Wexford - Moundsville, WV

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... DUTIES/RESPONSIBILITIES Under the supervision of Registered Nurse, assists in the assessment of the physical, psychologi...

    7 days ago from Wexford Health

  • Utilization Review Team Lead

    Sedgwick Claims Management Services - Charleston, WV

    and RESPONSIBILITIES. * Trains and develops utilization review staff. * Supervises a team of nurses ensuring utilization ... * Expert knowledge of the insurance industry and claims processing. * Acquired knowledge of GM claims process,...

    18 days ago from ZipRecruiter

  • Director, Workers' Compensation Major Case Claim

    Leading American Insurance Company - Hartford, CT

    claims handling practices. Insurance license(s) and/or nurse license as required by state regulation. Description ... Oversee the handling of the Companys severe and/or complex claims with exposure greater than $1M or $500K for Constructi...

    9 days ago from IvyExec

  • Medical Director - Claims

    Nexus Healthcare - Seattle, WA

    manages the denial process. Reviews cases with concurrent review nurses. Provides medical expertise for care ... Peer Review, medical policy/procedure development, provider contracting experience highly preferred 2147483647...

    30+ days ago from The Ladders

  • Utilization Review Nurse - Full Time - Utilization Management

    Alaska Native Tribal Health Consortium - Anchorage, AK

    reports and subsequent treatment plan requests to conduct review Reviews and validates physicians orders, reports ... review information in computer. Communicates results to claims adjusters. Enters billing information for services.

    6 days ago from

  • Nurse Auditor - Medical Claim Review and Analysis

    Phx - Bedminster, NJ

    Job Description: ~~NurseNurse Auditor – Clinical Review – UR – Case Management – Hospital Claim Review PHX, the ... review and case management. Keywords: RN, LPN, Nurse, Case Management, Utilization Review, Claim Review,...

    21 days ago from ZipRecruiter

  • Registered Nurse-Dialysis

    U.S. Department of Veterans Affairs - Buffalo, NY

    Qualifications: Education/Experience Requirements: Nurse I, Level 1 ? None beyond basic educational requirement (Associa ... Reference: VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD

    1 day ago from U.S. Department of Veterans Affairs


    Aureus Medical Group - Great Falls, MT

    Tracks billing and charge claims for Residents receiving claims outside of Benefis Senior Care (including both ... of an accredited school of nursing. Current Registered Nurse licensure in State of Montana, BSN preferred. Three...

    30+ days ago from