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Claims Review Nurse jobs

Viewing 51 - 60 of 10,614 jobs

  • UM/Concurrent Review Nurse

    Catholic Health Initiatives - Federal Way, WA

    Summary The primary role of the Utilization Management/Concurrent Review Nurse is to review and monitor members’ utiliza ... appropriate referral to case management, and high dollar claims review. This position will be considered for...

    30+ days ago from MiracleWorkers.com

  • Managed Care Claims Examiner

    Select Family of Companies - Rancho Cucamonga, CA

    Is responsible for researching and reviewing non-contracted claims for financial liability, facilitating ... programs. Additional responsible may include incoming claims and documentation is scanned into production queue...

    5 days ago from ZipRecruiter

  • Nurse Reviewer - Evening Shift - 142047

    Banner Health - Phoenix, 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 QualificationsRequires...

    8 days ago from ZipRecruiter

  • Nurse Reviewer (RN) Registered Nurse

    CCC Information Systems - Iselin, NJ

    Solutions, which involve the review of first party medical claims, (2) Medical Advisory Solutions, which include nurse ... CCC by visiting www.cccis.com Job Summary The National Nurse Review position provides support to the carriers...

    23 days ago from HealthJobsNationwide

  • Registered Nurse Review Analyst

    Genpact - Detroit, MI

    Jawood Healthcare Solutions, is seeking a Registered Nurse Review Analyst. Duties include: • Responsible for the ... to perform this job. Requirements: • Registered Nurse with current Michigan driver's license. • Associate Degree or...

    4 days ago from MiracleWorkers.com

  • Senior Workers Compensation Claims Examiner/ Adjuster- Temporary

    York Risk Services - Baton Rouge, LA

    managed care services including utilization review, bill review, nurse case management, medical provider networks, ... Job Description The Senior Workers Compensation Claims Examiner investigates claims to determine an injured...

    2 days ago from ZipRecruiter

  • Reimbursement Nurse Reviewer

    Confluence Health - Seattle, WA

    and preparing written appeals for denied or underpaid claims. Will work collaboratively with CDI, UM, HIM, ... staff on payer issues. Graduate of an accredited registered nurse program is required. Bachelor’s degree in a healthcare...

    21 days ago from MiracleWorkers.com

  • Banner Health: Travel Nurse Reviewer

    Banner Health - Mesa, AZ

    BNNRCCRNWe are currently looking for an experienced Nurse ReviewerIf adventure and variety are your goals, then ... for claims payment of services approved through concurrent review and case management. Minimum QualificationsRequires...

    23 days ago from ZipRecruiter

  • Claim Associate Manager - Construction (Director Level Role)

    Leading American Insurance Company - Diamond Bar, CA

    - Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims ... continuous process of management involvement and claim file review. Evaluates claim behaviors, taking improvement...

    26 days ago from IvyExec

  • WC Claims Examiner/Adjuster- Temporary

    York Risk Services - Baton Rouge, LA

    care services including utilization review, bill review, nurse case management, medical provider networks, pharmacy ... Senior Workers Compensation Claims Examiner investigates claims to determine an injured worker’s entitlement to...

    2 days ago from ZipRecruiter

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