Nurse Reviewer jobs

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Nurse Medical Management I - Florida Gulf

WellPoint, Inc 428 reviews - Tampa, FL
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 - block - email - more...

Medical Management Nurse Reviewer - II

Blue Cross of Northeastern Pennsylvania 1,161 reviews - Wilkes-Barre, PA
The nurse is fully accountable and responsible for these determinations and acts as a primary liaison with the member, provider and many internal departments...
15 days ago - save job - block - email - more...

Clinical Documentation Specialist RN - FT/Days

Mainland Medical Center - Texas City - Texas City, TX
Collaborates with physician, physician extender, nurse, case manager/utilization reviewer and Medical Records coder....
HCA Inc - 6 days ago - save job - block - email - more...

Medical Record Field Reviewer

Altegra Health 49 reviews - Indianapolis, IN - +18 locations
Outcomes’ nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations....
8 days ago - save job - block - email - more...

Program Director, Nursing

American Public University System 13 reviews - Remote
Engage with external expert reviewers to review program content;. execute reviewer recommendations as applicable....
8 days ago - save job - block - email - more...

Nurse Medical Mgmt I - (Job Family) 90210

WellPoint 428 reviews - Atlanta, GA 30301 (Buckhead area) - +1 location
Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...
8 days ago - save job - block - email - more...

Clinical Administrative Coordinator - US Telecommute

UnitedHealth Group 1,423 reviews - Phoenix, AZ
Order Medical Records and/or response for Clinical Reviewer (including working with copy services as needed and timely follow-up)....
1 day ago - save job - block - email - more...

Clinical Care Reviewer UM

AmeriHealth Caritas 24 reviews - Baton Rouge, LA - +1 location
Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews....
19 days ago - save job - block - email - more...

Nurse Reviewer

One Call Care Management 10 reviews - Parsippany, NJ
One Call Care Management (OCCM), ( www.onecallmedical.com ) the nationwide leader in MRI, CT and EMG excellence is seeking a Nurse Reviewer to join our...
CareerBuilder - 23 hours ago - save job - block - email - more...

Appeal Nurse

Quantum Health - Columbus, OH
We are looking for a qualified Appeal Nurse. The Appeal Nurse is responsible for the management of all clinical appeal requests according to Quantum Health's...
7 days ago - save job - block - email - more...
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 - 3 days ago
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