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Claims Review Nurse jobs

Viewing 41 - 50 of 9,155 jobs

  • Claim Rep, General Liability

    Travelers - Alpharetta, GA

    for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, ... in claims handling. Advanced level knowledge and skill in claims and litigation. Basic working level knowledge and...

    30+ days ago from CareerBuilder

  • Utilization Review RN

    TML Mutlistate Iebp - Austin, TX

    Job Responsibilities: Performs telephonic precertifications Concurrent review Retro/claims reviews Discharge planning Float position – back up to UR-RN, UM, UR-LVN Interface with IROs to include Radiation and Oncology reviews Protects the...

    4 days ago from StartDate Labs

  • Director of Patient Safety - Registered Nurse

    Citrus Memorial Hospital - Inverness, FL

    PSIP data, SHARP report, Service Line Dashboards, Issues in Review). Supports hospital initiates in meeting core measures, patient safety and service excellence goals. Continuously evaluates work process and design; understands role in...

    30+ days ago from Citrus Memorial Hospital

  • Retrospective Review Nurse

    Simply Healthcare Plans - Tampa, FL

    The Retrospective Review Nurse performs medical claims audit reviews. As a Retrospective Review Nurse, you will join a ... of care services Review information contained in standard claims processing system files (e.g., claims history,...

    4 days ago from StartDate Labs

  • Appeals Review Nurse, HEDIS Senior Clerk, Provider Operations C

    Vaco Staffing - Tampa, FL

    Validates information and provides feedback to management Pay range ($14-$16) hour Appeals Review Nurse: Position review ... review activity and reporting. Applies accepted criteria to review process, and utilizes the parameters to input review...

    4 days ago from StartDate Labs

  • Nurse Reviewer - RN

    Health Care District of Palm Beach County - Palm Springs, FL

    and therapies including PT/OT/ST/RT.Performs Retrospective Review of medical records for medical necessity/severity of ... the Appeal process.Active participant in biweekly inpatient review meetings with the Medical Director.Attends staff, and...

    5 days ago from StartDate Labs

  • Utilization Review Nurse- LPN or RN (Work From Home Option)

    Mercy - Springfield, MO

    work from home in just six months !* The Utilization Review Nurse is responsible for the development, implementation, ... inpatient concurrent review, retrospective review, reconsiderations and appeals. Performs each review...

    30+ days ago from StartDate Labs

  • Clinical Information Review Analyst, Behavioral Health

    Banner Health - Tucson, AZ

    locations on concurrent and retrospective utilization review. Accurately and thoroughly completes documentation ... for claims payment of services approved through concurrent review and case management. Minimum Qualifications Requires...

    18 days ago from Banner Health

  • Nurse Practitioner

    Wexford - Cumberland, MD

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. Wexford ... to offer a competitive benefits package including: Annual review with performance increase Generous paid-time off...

    4 days ago from Wexford Health

  • Registration Clerk PRN

    Lafayette Surgery Center - Lafayette, LA

    information to ensure accurate coding, billing and claims submission. DUTIES INCLUDE BUT ARE NOT LIMITED TO: Responsible for accurately performing all functions of patient admissions, including reviewing all information with patient,...

    23 hours ago from Lafayette Surgery Center