Nurse Reviewer jobs

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Utilization Review Nurse
Multiple Location Third Party Payor Company - Charleston, WV
Perform case referral to Case Management and to Physician Reviewer. We are dedicated to providing comprehensive and innovative healthcare solutions....
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Sponsored by Multiple Location Third Party Payor Company - 28 days ago
Nurse Reviewer
Blue Cross Blue Shield of Rhode Island 15 reviews - Providence, RI
At Blue Cross & Blue Shield of Rhode Island (BCBSRI), diversity and inclusion are central to our core values and strengthen our ability to meet the challenges
Sponsored by Blue Cross Blue Shield of Rhode Island - 3 hours ago
Texas Licensed Registered Nurse++
Accenture 3,090 reviews - Austin, TX
The Registered Nurse conducts pre-service, concurrent/ retrospective reviews. Unrestricted Registered Nurse license from the State of Texas....
Sponsored by Accenture - 16 days ago

Medical Case Manager

BlueCross BlueShield of Tennessee 44 reviews - Knoxville, TN
Registered Nurse with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse...

Registered Nurse (Clinical Reviewer)

Department of Veterans Affairs 982 reviews - Pearl, MS
Responsibilities of the Clinical Reviewer Registered Nurse include the following:. The Veterans Health Administration (VHA), Chief Business Office (CBO),...

Nurse Reviewer

HMSA 9 reviews - Honolulu, HI
Under minimal supervision, conducts detailed analysis and review of precertification requests, post-service and post-payment claims, concurrent review and

Inpatient Review Nurse Team Lead

Meridian Health Plan 41 reviews - Detroit, MI - +1 location
Manage half the case load as a full time nurse reviewer. Identifies expected outcomes of the nurse reviewer orientation program and ongoing education programs....

Medical Field-Base Chart Reviewer/Collector (RN/LPN/CNA/MA)

Inovalon 102 reviews - Avenel, NJ
Inovalon is the nation’s largest medical record reviewer. Registered Nurse or LPN, CNA or Medical Assistant; Inovalon reviewers are provided with a laptop and...

Nurse Reviewer/telephonic Case - 542

GENEX 71 reviews - Philadelphia, PA
Registered nurse with current, valid state licensure required. We are currently seeking a Nurse Reviewer/Telephonic Case Manager for the Philadelphia, PA area....

Bariatric Spine Nurse Coordinator

Plaza Medical Center of Fort Worth - Fort Worth, TX
In the role of the Bariatric Surgical Clinical Reviewer (BSCR); RN with current licensure or RN with temporary permit to practice from the Board of Nurse...

Clinical Reviewer - FH Home Care - Clinical Support - Orland...

Florida Hospital- Adventist Health System - Orlando, FL
Home Care, Clinical Operations, Clinical Reviewer. Licensed by the State of Florida as a Registered Nurse or Therapist....

RN 2 Utilization Review

Milwaukee County 25 reviews - Milwaukee, WI
Registered Nurse in the State of Wisconsin required. Two (2) years' experience in discharge planning, admission coordinator, QM, or insurance reviewer preferred...

Medical Reviewer RN - UM

Blue Cross Blue Shield 1,551 reviews - Albuquerque, NM
Registered Nurse with current, active, unrestricted Registered Nurse (RN) license in the state of operations(or reciprocity)....
Bariatric Spine Nurse Coordinator
Plaza Medical Center of Fort Worth - Fort Worth - Fort Worth, TX
In the role of the Bariatric Surgical Clinical Reviewer (BSCR); RN with current licensure or RN with temporary permit to practice from the Board of Nurse...
Sponsored by HCA Inc - 5 hours ago
Clinical Reviewer RN - U.S. Telecommute
UnitedHealth Group 1,997 reviews - Minnetonka, MN
The Clinical Reviewer RN will support United. Expanding access to affordable, high quality health care starts here....
Sponsored by UnitedHealth Group - 22 hours ago
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Accenture is a global management consulting, technology services and outsourcing company, serving clients in more than 120 countries.