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Registered Nurses-Quality Assurance Reviewer Full Time
Amber Court At Home-Brooklyn - Brooklyn, NY
NYS licensed and currently registered as a Registered Professional Nurse. Amber Court At Home is a Certified Home Health Agency seeking a Registered Nurses with...
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Nurse Reviewer
Mercy - 250 reviews - Springfield, MO 65807
Registered Nurse or Licensed Practical Nurse and current RN/LPN license. Five or more years of clinical experience as a registered or licensed practical nurse....

NICU Utilization Management Nurse - 100% Telecommute

ProgenyHealth - Plymouth Meeting, PA
The clinical care nurse serves as a nurse reviewer for admissions, lengths of stay and a facilitator for discharge planning....

RN Medical Reviewer II

BlueCross BlueShield of South Carolina - 4,642 reviews - Birmingham, AL   +1 location
An active, compact, multistate RN license as defined by the Nurse Licensure Compact (NLC). Performs medical reviews using clinical/medical information provided...

Utilization Management Nurse Reviewer

Commonwealth Care Alliance - 44 reviews - Boston, MA 02108 (Back Bay-Beacon Hill area)
The Utilization Management Review Nurse reports to the Utilization Management Nurse Manager. Works closely with CCA Clinicians, Medical Staff and Peer Reviewers...

Nurse Reviewer, Utilization 2

Mitchell International, Inc. - 3 reviews - Richardson, TX
Uses evidence-based, nationally recognized treatment protocols and accesses physician reviewers, as indicated, when certification/approval cannot be recommended...

RN Reviewer - Healthcare

Keystone Peer Review - Scarborough, ME
Currently recruiting for this office-based position in Scarborough, ME RN Reviewer Utilization Management Reviews and interprets patient records and compares...

Temporary HEDIS Nurse Reviewer - Remote

BMC Health Net - Boston, MA
Weekly meetings with Quality Improvement Nurse Manager of Clinical Quality Improvement Qualifications:. Reviews and abstracts paper and electronic medical...

Telephonic Inpatient Care Coordinator, RN

Kaiser Permanente - 5,415 reviews - Atlanta, GA
Attends scheduled weekly rounds with network physician reviewer to discuss clinical course, discharge planning and potential QA/UM concerns of all hospitalized...

Episode Assessment Coordinator RN, OASIS Reviewer

PruittHealth - 127 reviews - Aiken, SC   +6 locations
Episode Assessment Coordinator RN, OASIS Reviewer. PruittHealth Home Health Aiken, SC....

Claims Nurse Reviewer

Regal Medical Group - 70 reviews - Northridge, OH
Claims Review Nurse will at all times maintain strict confidentiality on behalf. Under the general direction of the Medical Director, the Claims Review Nurse is...

Nursing Reviewer

HMS - 571 reviews - Ohio
Nursing Reviewer (170010XU). Interacts with physician reviewers. Provides supporting reference documentation to the reviewer....
Episode Assessment Coordinator RN, Oasis Reviewer
PruittHealth - 127 reviews - Norcross, GA
Episode Assessment Coordinator RN, Oasis Reviewer. PruittHealth Home Health Norcross, GA....
Surgical Case Nurse Reviewer
Chenega Corporation - 295 reviews - Eglin Village, FL
The nurse reviewer performs chart abstraction and/or quality improvement projects for the NSQIP. The Surgical Case Nurse Reviewer (SCNR) shall provide...
Physician File Reviewer needed for NON-CLINICAL Position
AVS Underwriting, LLC - 2 reviews - Kennesaw, GA 30144
PHYSICIAN FILE REVIEWER (PFR)*. The role of the Physician File Reviewer (PFR-Medical Underwriter) is to assess life expectancies on applicants using medical...
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