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Claims Review Nurse jobs

Viewing 41 - 50 of 8,844 jobs

  • Corporate SNF / LTC Accounts Receivable Director

    Executive Search Solutions - Chicago, IL

    and identify areas for improvement • Review and analyze cash reports • Manage accounts receivable and related ... B billing (Compliant Part A and Part B claims) • Managed Care billing • Medicaid billing • Nursing Home Billing...

    4 days ago from PostJobFree

  • Healthcare Systems Analyst - NASCO / NPS Claims / BFAST (104376)

    Strategic Staffing Solutions (s3) - Detroit, MI

    Skill required: Ability to review/perform analysis of business requirements Knowledge of Medical insurance claims proces ... Required Skills/Experience Minimum of 3-5 years of NPS claims processing experience Experience in identifying and...

    26 days ago from ZipRecruiter

  • Clinical Quality Assurance RN

    All Medical Personnel - Loves Park, IL

    Type: ClinicJob Duties: Quality assurance audits on peer review reports Ensure case reports are in compliance with ... At least 1 year of experience in utilization review, peer reviews, claims management, worker's...

    20 days ago from Get Nursing Jobs

  • UTILIZATION REVIEW NURSE (RETROSPECTIVE REVIEWS)

    Health Plan of San Mateo - San Mateo, CA

    a full time Utilization Review Nurse to perform utilization/claims reviews with a focus on retrospective reviews. This ... requests/claims documentation within specified timeframes. Review authorization requests/claims for out-of-network...

    2 days ago from Nurse.com

  • Microsoft Visio/Managed Care - RN/LPN/LVN Clinical Systems Manager

    Castle Health Staffing - Tampa, FL

    Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) Technical ... Registered Nurse or Licensed Practical/Vocational Nurse Managed Care Project Management/Implementation IDEAL...

    30+ days ago from PostJobFree

  • 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...

    16 days ago from ZipRecruiter

  • Registered Nurse Care Manager in the Patient Alligned Care Team (PACT)

    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 http://www1.va.gov..

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

  • Registered Nurse (RN) - Workers' Comp Field

    Aetna - San Jose, CA

    providers, attorneys, employers, claims examiners and more • Arrange specialty referrals, consultations, and ... and unrestricted Registered Nurse (RN) license in state of employment • Minimum 2 years of clinical nursing experience...

    25 days ago from icrunchdata

  • Nurse Administrator - Home Health

    Giving Home Health Care - Farmington, NM

    as you will be doing some medical and clinical writing and review. Your communication skills must be accurate, warm, friendly but persuasive because in addition to your nursing staff, you will work with many doctor's offices and clinics...

    10 days ago from ZipRecruiter

  • Adjunct Nursing

    Community College of Allegheny County - Pittsburgh, PA

    The primary responsibilities of the faculty are to teach and to develop the curriculum. To meet these responsibilities, faculty must remain knowledgeable about advances in their disciplines, in learning theory, and in pedagogy. Faculty...

    4 hours ago from ScholarlyHires.com