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Claims Review Nurse jobs

Viewing 41 - 50 of 11,355 jobs

  • Medical Claims Review Nurse

    Tenet Healthcare - Phoenix, AZ

    related to adjudication of claims, claims medical review and other areas as required. Qualifications : Special Skills: Strong attention to detail ... Working knowledge of claims medical review processes and/or coding certification...

    14 days ago from Tenet Healthcare

  • Claims Review Nurse Medical Advisor

    Computer Sciences Corporation (CSC) - Largo, MD

    for a Claims Review Nurse/Medical Advisor. The Claims Review Nurse/Medical Advisor will be responsible for ... and services to be covered under the Program. The Claims Review Nurse/Medical Advisor will work with...

    23 days ago from Computer Sciences Corporation

  • Clincial Claims Review Nurse Advisor

    Humana - Louisville, KY

    Role: Clinical Claims Review Nurse Advisor Assignment: Clinical Guidance Organization Location: Louisville, KY or Green ... Clinical Claims Review Nurse Advisor you will review medical services for necessity and appropriateness.��� Humana is...

    26 days ago from Humana

  • DC Medical Claims Review Nurse (RN) - Federal Employees

    Carenational Healthcare Services - Washington, DC

    Medical Claims Review Nurse (RN) - Federal EmployeesWashington, DC Job Summary: The Claims Review Nurse is responsible ... fostering collaborative working relationships. The Claims Review RN is also responsible for reviewing medical claims...

    28 days ago from CareNational Healthcare Services, LLC

  • Registered Nurse - Claims Review

    Aerotek - Milwaukee, WI

    located in Milwaukee, WI, is seeking a licensed RN for a Claims Reviewer role. This position is working on the ... care. Individual will be responsible for reviewing patient claims to determine benefits eligibility. This is a great...

    9 hours ago from CareerBuilder

  • CLINICAL CLAIMS REVIEW NURSE - COAST HEALTHCARE MANAGEMENT

    Coast Healthcare - Lakewood, CA

    Implements and manages the Clinical Claims Review process for Coast Healthcare Management (CHM), and insures that ... experience * Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred *...

    5 days ago from HealthCallings

  • CLINICAL CLAIMS REVIEW NURSE - COAST HEALTHCARE MANAGEMENT

    Conifer Health Solutions / Tenet - Lakewood, CA

    ## Description Implements and manages the Clinical Claims Review process for Coast Healthcare Management (CHM), and ... experience * Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred *...

    3 hours ago from Conifer Health Solutions / Tenet

  • Claims Review Nurse/Medical Advisor

    Computer Sciences Corporation (CSC) - Largo, MD

    a Claims Review Nurse/Medical Advisor. The Claims Review Nurse/Medical Advisor will be responsible for reviewing ... and services to be covered under the Program. The Claims Review Nurse/Medical Advisor will work with...

    30+ days ago from Computer Sciences Corporation

  • Appeals/Retrospective/Medical Claims Review RN

    Amalgamated Life Insurance - Salem, NH

    or provider.Follow URAC guidelines and standards for review processOpens and reviews all appeal and retrospective ... of certification.Reviewing, analyzing and evaluating claims and referralsPrepares final letters to subscriber,...

    6 days ago from CareerBuilder

  • Medical Claims Review Nurse

    Cap Management - Phoenix, AZ

    recommendation and development related to adjudication of claims, claims medical review and other areas as required. ... Working knowledge of claims medical review processes and/or coding certification...

    14 days ago from HealthCallings

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