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Claims Review Nurse jobs

Viewing 51 - 60 of 9,568 jobs

  • RN, Clinical Claims Review

    Healthcare Partners - Torrance, CA

    RN, Clinical Claims Review Req: 12654 Department: IMCS Claims Schedule: Full Time Shift: Days Hours: Monday 7:00 a.m. to ... seeking aRN, Clinical Claims Review: Responsiblefor review, research and complete retrospective clinical claims...

    7 hours ago from A Mighty River

  • Claims Medical Review Nurse

    State of Arizona - Phoenix, AZ

    Leadership, Passion, Quality, Respect, Teamwork** **Claims Medical Review Nurse****** **First review: 12/01/14** ... is currently recruiting for a Claims Medical Review Nurse, Grade 20. **After training, this position has the...

    2 days ago from State of Arizona

  • Lead Medicare Claims Reviewer (RN)

    Catapult Consultants - Baton Rouge, LA

    Abilities Required: • While performing the duties of this job the employee is regularly required to sit and use hands to finger, handle, or feel while typing at a computer keyboard. • The employee is occasionally required to stand,...

    30+ days ago from Catapult Consultants, LLC

  • Clinical Claim Review RN - Telecommuting

    Department of Workforce Services - Salt Lake City, UT

    * Preferred Qualifications:* * Experience in utilization review,case management,clinical claims review preferred * ... guidelines preferred * Nursing experience in utilization review,case management,clinical claims review preferred *...

    30+ days ago from Department of Workforce Services

  • Claims Medical Review Nurse(Job Id 13470)

    Arizona Health Care Cost Containment System (ahcccs) - Phoenix, AZ

    Claims Medical Review Nurse(Job Id 13470) Post Date 11/20/2014 Close Date Category MEDICAL/HEALTH SERVICES Grade 20 ... Respect, TeamworkClaims Medical Review Nurse First review: 12/01/14This position will remain open until...

    4 days ago from

  • Medical Claim Reviewer/LVN

    Molina Healthcare - Long Beach, CA

    Minimum one year Utilization Review and/or Medical Claims Review ... State Licensed Vocational Nurse, Licensed Practical Nurse. Preferred Education: Registered Nurse. Bachelor's...

    19 days ago from CareerBuilder

  • Clinical Claim Review RN- Maryland

    Health Insurance - Minneapolis, MN

    clinical summations based on Readmission review clinical criteria Verbally present clinical reviews to Field ... policies within claim post service medical review Review system generated denials and provider or customer...

    28 days ago from ActiveHire

  • Medical Claim Review Medical Director - Virtual

    UnitedHealth Group - New York City, NY

    for the initial (MCR) post service clinical review of claims for UnitedHealth Group (UHG). The Medical Director ... other departments such as the preservice Clinical Coverage Review team and Inpatient Concurrent Review team regarding...

    4 days ago from UnitedHealth Group

  • Medical Review Claims Analyst

    Emblemhealth Services - New York City, NY

    reimbursement rules on applicable surgical and medical claims. Reviews claims submitted with temporary and unlisted ... claims and ensuring compliance with existing claims processing and review guidelines. Knowledge, Skills &...

    2 days ago from EmblemHealth Services

  • Clinical Claims Reviewer

    Optima Health - Virginia Beach, VA

    processing of suspended claims. Responsibilities include review and determination of provider reconsiderations. ... The nurse makes claims payment determinations on lines Claims Xten pends for review. Utilizes knowledge of medical...

    30+ days ago from ZipRecruiter

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