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Claims Review Nurse jobs

Viewing 31 - 40 of 12,948 jobs

  • 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...

    17 days ago from Get Physician Jobs

  • Legal / Disability Claims Advocate

    Personnel People - Providence, RI

    in appealing denied disability benefits. Will obtain and review medical records, and conduct strategic review to ... Legal, Psychological Services, and Veteran or Disability claims management, medical or health insurance claims. Some...

    13 days ago from JobsInRI

  • 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...

    30+ days ago from IvyExec

  • RN - Client Community Coordinator Job

    PeaceHealth - Eugene, OR

    Monthly clinical/billing review is performed in collaboration with the billing and clinical staff and is incorporated in ... clinical documentation prior to submission of claims, as well as reimbursement for services rendered. 11.

    3 days ago from

  • Utilization Management Nurse Reviewer - Care Authorizations

    Medical Mutual - Cleveland, OH

    Utilization Management Nurse Reviewer - Care Authorizations Job Title: Utilization Management Nurse Reviewer - Care ... Date: 04/27/2015 Job Description: Utilization Management Nurse Reviewer Reports to: Supervisor Location: Cleveland We...

    27 days ago from TweetMyJobs

  • 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...

    4 days ago from The Ladders

  • Registered Nurse (RN) - Rehab - PRN

    HCA Healthcare - Nashville, TN

    meetings and depositions from defense counsel and claims investigators. * Evaluates each request for relevance ... claims process a plus. * Experience with Marsh STARS claims information system a plus. * Working knowledge of...

    17 days ago from HCA Healthcare

  • Occupational Health Nurse (4438434)

    Cor-Tech - New York City, NY

    experience through an insurance company, utilization review or discharge planning experience through a hospital ... Management, Management of Work Related Injury/Illness Claims, American with Disabilities Act (ADA) Process/Waiver...

    18 days ago from Cor-Tech Healthcare

  • Registered Nurse Case Manager

    Nurse Resolutions - Fairfax, VA

    accidents, liability claims, long and short term disability claims or other specialized service requested by the ... and/or COO JOB QUALIFICATIONS: Registered Nurse with 2 years case management experience Pay-65-75k Plus Full...

    5 days ago from ZipRecruiter

  • RN Medical Claims Review Nurse

    Healthcare Support Staffing - Long Beach, CA

    Description: We are aggressively seeking a “RN Medical Claims Review Nurse" to assist a large Healthcare ... Claims Review Nurse Company Job Title: Medical Claims Nurse Compensation Notes: $70,000-87,000 USD Shift: M-F...

    3 days ago from ZipRecruiter