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Clinical Accreditation Reviewer
URAC - 6 reviews - Washington, DC
$97,000 a year
The Accreditation Reviewer is an expert in the content and interpretation of accreditation programs and standards....
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Sponsored
RN Clinical Reviewer
Licensed Registered Nurse with ability to obtain a license in at least two states. The RN Clinical Reviewer will independently review/audit various claims and...
Sponsored

RN/Clinical Care Reviewer

PeopleNTech LLC - North Charleston, SC  +1 location
SC Registered Nurse license. Clinical Care Reviewer - UM (449919)*. Current, unrestricted SC Registered Nurse license....
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Nurse Reviewer - HWDRG

KePRO - Cleveland, OH
Nurse Reviewer - HWDRG. KEPRO is a rapidly growing national quality improvement and care management organization....

Medical Review Nurse (RN) - Indianapolis, IN

RepuCare - 5 reviews - Indianapolis, IN 46204
Consulting with clinical reviewers and/or medical directors to ensure medically appropriate, high quality cost effective care throughout the medical management...

Nurse Reviewer (Fraud and Abuse)

HMSA - 15 reviews - Honolulu, HI 96817 (Liliha-Kapalama area)
Performs under minimal supervision a detailed analysis and review of the medical records applying clinical expertise, knowledge of standard practice to

Peer Reviewer

Care Review Resources - Orange, CA
Care Review Resources is a healthcare consulting and temporary contracting firm assisting all types of provider organizations. Our team is comprised of well
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Medicare Medical Review RN

NCI Information Systems, Inc. - Nashville, TN  +5 locations
Graduate from an accredited school of nursing and has an active license as a Registered Nurse (RN). As the Medicare Medical Review RN ( Medical Reviewer ), you...

Nurse Case Reviewer

MagnaCare - 28 reviews - Tinton Falls, NJ  +1 location
The Nurse Case Reviewer reports to the UR Department Manager for clinical activities. Currently licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN)...

Registered Nurse II

State of South Carolina - 27 reviews - Richland County, SC
$47,092 - $87,125 a year
Maintain a current SC Registered Nurse license. Accompanies reviewers to on-sites as deemed appropriate by supervisor and be responsible for completion of...

Clinical Nurse Reviewer

Commonwealth of Massachusetts - 120 reviews - Quincy, MA
Review Prior Authorization (PA) requests, as assigned, and make clinically appropriate decisions and medical necessity determinations to adjudicate these

Clinical Reviewer - RN

KePRO - Richmond, VA  +2 locations
Clinical Reviewers - RN. KEPRO is a rapidly growing national quality improvement and care management organization....
Call Center Nurse - Virginia Beach, VA - 118704
May access and consult with peer clinical reviewers, Medical Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost...
Sponsored
RN - Concurrent Reviewer - FT - Days
The QO Analyst is responsible for the concurrent and retrospective review needed to assure hospital-wide compliance with core measure guidelines. In the future
Sponsored by HCA Inc
Nurse Reviewer
Mercy - 138 reviews - Springfield, MO
Document additional diagnosis findings and coding queries for each member reviewed on nurse reviewer statistics spreadsheet....
Sponsored
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