Nurse Reviewer jobs

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Rehab Project Coordinator /Medical Record Reviewer, Newton,...
Five Star Quality Care Inc. - Newton, MA
Medical Record Reviewer Five Star Rehab & Wellness, LLC is seeking an experienced healthcare Rehab Project Coordinator/ Medical Record Reviewer with extensive...
Sponsored by Five Star Quality Care Inc. - 20 days ago
Utilization Reviewer RN (Part-Time, Weekends Only- Day shift...
Miami Children's Hospital 51 reviews - Miami, FL
Minimum 2 years clinical experience. Registered Nurse, Licensed to practice in the State of Florida... Communicates with outside reviewers on determination...
Sponsored by Miami Children's Hospital - 30+ days ago

Nurse Reviewer - Short Stay

SCIO Health Analytics 4 reviews - Jacksonville, FL
The Nurse Reviewer reviews medical records and renders a decision based on established criteria exercising independent decision making and judgment using...
8 days ago - save job - email - more...

Nurse Reviewer

HMS 296 reviews - Westerville, OH
The Nurse Reviewer performs clinical review of medical information and quality assurance as defined by review methodologies specific to the contract for which...
1 day ago - save job - email - more...

Nurse Medical Mgmt I/II

WellPoint, Inc 436 reviews - Chicago, IL - +3 locations
Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...
WellPoint - 4 days ago - save job - email - more...

SIU Healthcare Fraud Reviewer

General Dynamics - IT 457 reviews - Towson, MD
The Senior FWA Nurse/Investigator position also must have clinical expertise and Registered Nurse credentials....
4 days ago - save job - email - more...

UM/UR Reviewer - RN LPN

KEPRO - Tampa, FL - +1 location
KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care...
7 days ago - save job - email - more...

Registerd Nurse/Medical Reviewer

Blue Cross Blue Shield 1,196 reviews - Tulsa, OK
*Registered Nurse (RN) with current, valid, unrestricted license to practice in state of operations. *3 years clinical practice experience....
HCSC - 24 days ago - save job - email - more...

IG-Medical Review Nurse

HMS 296 reviews - Miramar, FL
Serves as mentor and trainer to LPN reviewers. Participates in and contributes to the quality management system. Any other duties as assigned....
4 days ago - save job - email - more...

Pre-Service Clinical Review Nurse Job

Group Health 49 reviews - Spokane, WA - +1 location
Prepares information for review by the physician reviewer according to established procedures. Determine if new services are experimental or investigational and...
Group Health Cooperative - 5 days ago - save job - email - more...

Utilization Management Reviewer/UKHC

University of Kentucky 103 reviews - Lexington, KY
Salary Range $51,938-79,394/year Type of Position Regular Staff Position Time Status Full-Time Required Education ADN Required Related Experience 5... $51,938 - $79,394 a year
1 day ago - save job - email - more...

Mental Health Nurse II-Claims Reviewer

Alliance Behavioral Healthcare - Durham, NC 27703
The Claims Review Nurse is responsible for in-depth analysis and resolution of claims requiring clinical review, ensuring full compliance with policies and all...
6 days ago - save job - email - more...
Nurse Reviewer RN/LPN
AllOne Health Resources 3 reviews - Woburn, MA
We are currently seeking to fill the full-time position of Nurse Reviewer in Woburn, MA. The hours of this position are Mon-Fri days (occasional Saturday or...
Easily apply
Sponsored by AllOne Health Resources - 19 days ago
Claims Reviewer - RN
Medical Recruitment Strategies - Boston, MA
Medical Claims Review RN Boston, MA Responsibilities: Manages the medical claims review process requiring clinical input and coordination to provide...
Easily apply
Sponsored by Medical Recruitment Strategies - 5 days ago
Coding Quality Reviewer
Northeast Georgia Health System - Gainesville, GA
physician assistants and nurse practitioners, along... and PMS systems. In addition, the Coding Quality Reviewer may be called upon to provide education to staff...
Sponsored by Northeast Georgia Health System - 5 days ago
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Company with Nurse Reviewer jobs
51 reviews
At Miami Children's Hospital our goal is to provide the best pediatric healthcare in the world.
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