Medical Review Nurse jobs in Evansville, IN

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Clinical Reviewer
eviCore healthcare - Franklin, TN
Conducts initial medical review to determine medical necessity of elective outpatient comprehensive imaging requests. UM Nurse Reviewer....
Utilization Review Nurse
MHM Services Inc. - Nashville, TN
Utilization Review Nurse. Outpatient/InPatient UM Nurse Performs review of requests for prior authorization of medical services including diagnostic, outpatient...
RN Case Manager - 1602541
AseraCare - Indianapolis, IN
Must be a registered nurse with a current state license. Must have a minimum of 1-year general nursing experience with current Hospice, medical, surgical or...

RN Case Manager

Affinity Resources 4 reviews - Louisville, KY
$85,000 a year
Conduct concurrent medical record review using specific indicators and criteria as approved by medical staff. Nurse Case Manager....
Easily apply

Medical Record Field Reviewer

Altegra Health 114 reviews - Bloomington, IN  +2 locations
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

Clinical Access Team Telephonic RN

Humana 1,141 reviews - Louisville, KY
Humana is seeking a Clinical RN Advisor who will collaborate with other health care givers in reviewing actual and proposed medical care and services against...

Clinical Access Team Telephonic RN

Humana Inc. 1,141 reviews - Louisville, KY
We strive to ensure we provide perfect service with one-on-one member interactions as a coach, personal nurse, or clinical advisor....

Chief Nurse Consultant

Indiana Department of Child Services - Evansville, IN  +1 location
Review and interpret medical records, provide summaries and make nursing recommendations based on facts, supportive documentation, observations, and medical...
Easily apply


CarDon & Associates - Evansville, IN
Director of Nursing or nurse administration designee. Oversees Certified Nurse Aides, Nurse Aides, etc., on assigned unit/shift, participates in addressing...

Nurse Medical Mgmt l - Medicaid - Louisville, KY (112777)

Anthem, Inc. 671 reviews - Louisville, KY
Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure...

Customer Support Nurse

Hosparus 16 reviews - Louisville, KY
Completes claim reviews and documents determinations in a timely manner. Collaborates with the Interdisciplinary Team, and reviews SunCoast information, as...

UM Clinical Consultant

Aetna 624 reviews - Louisville, KY
Nursing/Registered Nurse is desired. Managed care/utilization review experience preferred. Click here to review the benefits associated with this position....

Nurse - RN/LPN Assisted Living Memory Care

Hamilton Pointe - Newburgh, IN
At least 1 yr experience as a Nurse.:. We are looking for a Nurse for 2nd shift, 2pm-10pm on Assisted Living Memory Care Unit....
Easily apply
Contract RN- Registered Nurse (Med/Surg)
Assured Nursing 3 reviews - Indianapolis, IN
$37 an hour
Participate in review and revision of Policies and Procedures as directed by Head Nurse, Supervisor or Assistant Director of Nurse....
Easily apply
Utilization Management Nurse
Evolent Health 10 reviews - Indianapolis, IN
Review precertification requests for medical necessity, referring to the Medical Director those that require additional expertise....

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