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Claims Review Nurse jobs

Viewing 21 - 30 of 12,408 jobs

  • Director Regional Risk Claims Management

    Mercy - Springfield, MO

    Experience: Five years minimum in risk and/or claims management: Other: 1 ... Licensure: Professional Registered Nursing Certifications: Risk Management, Insurance, Claims *HEC EEO/AA/Minorities/Fem...

    14 days ago from HEALTHeCAREERS Network

  • Vice President, Complex Claim Liability Specialist

    Leading American Insurance Company - Denver, CO

    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...

    9 hours ago from IvyExec

  • Registered Nurse (Non-VA Care Medical Care Coordination (NVCC) Inpatient Transfer Coordinator)

    U.S. Department of Veterans Affairs - Temple, TX

    received from NonVA facilities. Utilizes the Fee Basis Claims System to input clinical tracking notes, ... for inpatient care and to examine assigned inpatient claims. Utilizes complex automated data processing systems...

    6 days ago from U.S. Department of Veterans Affairs

  • Director, Workers' Comp Claims

    Dollar General - Nashville, TN

    Manages third party vendors, including medical bill review, legal bill review, pharmacy program, contract nurses ... high exposure WC claims. Makes final decisions on complex claims. Conducts continuous claim file reviews of worker’s...

    30+ days ago from The Ladders

  • Registered Nurse (RN) Job

    CIGNA - Pittsburgh, PA

    ROLE SUMMARY: The Disability Nurse Case Manager Specialist assists the claim manager to assessmedical/disability status ... ·Ability to function in a team environment ·Strong skills in medical assessment/medical record review...

    5 days ago from

  • RN Case Manager

    Axion - White Plains, NY

    appropriateness through direct observation, documentation review, and conferences. 6. Leads team conferences and ... Collaborates with finance department, claims processing agency and managers on services that are authorized and/or denie...

    10 days ago from ZipRecruiter

  • Nurse Practitioner-Physician Assistant Job(59014593588)

    Wexford Health - Baltimore, MD

    Wexford Health has an exceptional opportunity for a Full-time Physician Assistant/Nurse Practitioner to join our team of ... As a Physician Assistant/Nurse Practitioner, you will have the opportunity to work in a setting that is unique, challeng...

    30+ days ago from Wexford Health

  • Nurse Auditor - Medical Claim Review and Analysis

    Phx - Bedminster, NJ

    Job Description: NurseNurse Auditor – Clinical Review – UR – Case Management PHX, the leader in clinical bill review ... medical claims. Responsibilities Include: Review daily in-process report for new assigned claims. Request...

    19 days ago from ZipRecruiter

  • Coder Central Billing Office PRN - Clinics

    HCA Healthcare - Wichita, KS

    * Reviews and interprets clinical information from the medical record or hospital operative report to facilitate the assignment of diagnoses and procedure codes for physicians in the Clinic on a daily basis; assigns appropriate codes...

    3 days ago from HCA Healthcare

  • Nurse-Advanced Practice (Prescriber) - Nurse Practitioner

    Shawnee Correctional Center - Vienna, IL

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... income with no need to look for new patients Annual review with performance increase Generous paid-time off...

    30+ days ago from MDLinx Career Center