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Claims Review Nurse jobs

Viewing 31 - 40 of 10,463 jobs

  • Claims Support Nurse

    Recruiting Edge - San Diego, CA

    currently has an opening in San Diego, CA for a Claims Support Nurse. This position is responsible for providing ... guidance and advice on the medical issues in the claims.Coordinate with Utilization Review and Claims Professionals...

    2 days ago from ZipRecruiter

  • Physician- Medical Review - Part-Time (232024-005)

    Concentra - Las Vegas, NV

    SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about ... claims. -Meets regularly with Concentra Physician Review Medical Director to discuss quality of care and...

    30+ days ago from Concentra

  • No Fault Claims Examiner II

    Avature – Avis Budget Group - Virginia Beach, VA

    exposure of each claim's jurisdiction.Maintaining proper claims reserves. Evaluate all injuries for relationship to ... agreements, and medical records. Considerable knowledge of claims policies, procedures, applicable statutes, and...

    15 hours ago from ZipRecruiter

  • Utilization Review Registered Nurse

    Judge Group - Syracuse, NY

    is actively seeking a Utilization Review Registered Nurse for an outstanding client of ours in the Syracuse, NY ... Review service requests submitted by physicians to include review of evidence/clinical andmedical necessity.Communicate...

    16 days ago from ZipRecruiter

  • Physician - Medical Review - Full Time (230908-005)

    Concentra - Addison, TX

    interest! Relying on clinical background, reviews health claims providing medical interpretation and decisions about ... claims. -Meets regularly with Concentra Physician Review Medical Director to discuss quality of care and...

    30+ days ago from Concentra

  • Workers' Compensation RTW Claims Representative

    Selective Insurance Group - Charlotte, NC

    ultimate payout, explore subrogation potential, closes claims and secures appropriate releases.Documents claims ... when necessary.Prepare for and participate in claims review and settlement conferences.Ensures compliance with...

    2 days ago from ZipRecruiter

  • Utilization Manager- RN- Clinical Review

    Health Care Center - Brooklyn, NY

    Utilization Review. Certification in Utilization Review or Utilization Management is preferred. Must be ... healthcare services to participants.Documents review information in computer. Communicates results to claims...

    15 hours ago from ZipRecruiter

  • Nurse Case Reviewer - Workers Compensation

    MagnaCare - Westbury, NY

    MagnaCare provides Utilization Review/Medical Management services to its clients ... Skills and ExperienceCurrently licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) with licensure...

    24 days ago from ZipRecruiter

  • Registered Nurse / RN Utilization Review

    Korak Global Healthcare Services - Washington, DC

    expertise includes Medicare, Medicaid, and third party claims administration, health operations support, and other ... or behavioral health preferred).1 year of utilization review or related medical management experience preferred. D.C.

    30+ days ago from ZipRecruiter

  • Worker's Compensation Senior Claims Adjuster Ref# 2014-28

    Nars - Red Bank, NJ

    onset to conclusion of claims. Must maintain control of claims when partnered with Defense Attorneys and Nurse Case ... Description:Handle a caseload of approximately 150 pending claims that encompass all levels of complexity. Requires...

    5 days ago from ZipRecruiter

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