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Clinical Accreditation Reviewer
URAC - 3.26 reviews - Washington, DC
$97,000 a year
The Accreditation Reviewer is an expert in the content and interpretation of accreditation programs and standards....
Easily apply
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Nurse Medical Mgmt I/II/Sr - Woodland Hills or Newbury Park,...
Anthem, Inc. - 3.81,584 reviews - Woodland Hills, CA
**May be hired as a Nurse Medical Manager l,ll, or Sr depending upon level of education, skills, and relevant experience....
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Review Nurse - PA/UM

Georgia Medical Care Foundation, Inc. - Atlanta, GA
Reviewer or prior approval experience preferred EDUCATION, EXPERIENCE, AND TRAINING. The Review Nurse will also participate in reconsideration/appeals process...

Clinical Reviewers - LPN/RN

Keystone Peer Review - Harrisburg, PA
Clinical Reviewers - RN/LPN. KEPRO is a rapidly growing national quality improvement and care management organization....

Field Reviewer

Altegra Health - 3.4149 reviews - Benton, AR  +18 locations
Altegra is currently recruiting RNs, LPNs, LVNs, CNAs, MA’s, Certified Coders who have extensive experience with EMR/EHR proficiency, and RHIT or RHIA...
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Surgical Clinical Reviewer RN - NSQIP

gebbs healthcare - 3.914 reviews - Remote
Current license as a Registered Nurse - mandatory. Performs quality assessment and improvement activities for surgical services through participation in the ACS...
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RN Clinical Reviewer - Healthcare

KePRO - Concord, NH
RN Clinical Reviewer. KEPRO is a rapidly growing national quality improvement and care management organization....

Utilization Management RN

Valence Health - Austin, TX 78704 (South Lamar-South Congress area)
The Nurse Reviewer is responsible for performing precertification, prior approvals, concurrent and retrospective reviews, and coordination of discharge planning...

Clinical Reviewer - RN, LPN

Keystone Peer Review - Tampa, FL
Clinical Reviewers - RN/LPN. KEPRO is a rapidly growing national quality improvement and care management organization....

Clinical Care Reviewer

Della InfoTech Inc - North Charleston, SC 29405
$31 an hour
Current, unrestricted SC Registered Nurse license. Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical...
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Utilization Mangement RN

Valence Health - Austin, TX 78704 (South Lamar-South Congress area)
The Nurse Reviewer is responsible for performing precertification, prior approvals, concurrent and retrospective reviews, and coordination of discharge planning...

Medical Investigator I/II

Excellus BlueCross BlueShield - 3.021 reviews - Rochester, NY
Serves as an internal auditor/peer reviewer for new clinical staff, as needed. Registered Nurse with current NYS license and a minimum of four years’ clinical...
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...
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Nurse Reviewer
Mercy - 3.2138 reviews - Springfield, MO
Document additional diagnosis findings and coding queries for each member reviewed on nurse reviewer statistics spreadsheet....
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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
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Anthem, Inc. is working to transform health care with trusted and caring solutions.