Nurse Reviewer jobs

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Medical Review Supervisor - Work at Home
Registered Nurse (RN). An active Registered Nurse/RN license in the state the reviewer is working from. The Medical Review Supervisor oversees the accurate...
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Plan of Care Nurse Reviewer
Mercy - 192 reviews - Des Peres, MO
We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, you’ll
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Revenue Recovery RN
UCHealth - 210 reviews - Fort Collins, CO
1 year as a utilization reviewer, case manager or equivalent revenue cycle RN role. Graduation from a school of nursing....
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Prior Authorization Nurse

Arizona Priority Care - Chandler, AZ 85226
Registered Nurse (RN). Request outside Review Criteria are forwarded to a Medical Director/Physician Reviewer for final determination....
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Nurse Reviewer

IME Company - Bala-Cynwyd, PA
The Quality Assurance Nurse will perform the duties of the department in accordance with current applicable federal, state and local standards/regulations and...
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Nurse Reviewer

United Cerebral Palsy of MetroBoston - 2 reviews - Watertown, MA
Registered Nurse (RN). UCP is currently looking for a Registered Nurse to assist its PCA Department. United Cerebral Palsy of MetroBoston*....
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Appeals Nurse-Magellan Complete Care of Florida - Miami, FL

Magellan Health - 317 reviews - Miami, FL 33126 (Flagami area)
Documents communications with medical office staff and/or MD provider as required.- Refers cases to appropriate internal reviewers according to the business...

Nurse IV

Health & Human Services Comm - Houston, TX  +4 locations
$4,599 - $7,533 a month
The Nurse Reviewer lifts up to 40 pounds, walks extended distances and travels approximately 75% of the time. The Nurse Reviewer plans and conducts reviews and...

HEDIS Nurse Reviewer

PeopleNTech LLC - Baton Rouge, LA
HEDIS Nurse Reviewer*. The HEDIS Nurse Reviewer will work with the HEDIS team to collect member records by working with provider offices and/or hospital...
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RN - Clinical Review

Logistics Health Incorporated - 31 reviews - Eau Claire, WI
RN-Clinical Reviewers are still able to use their broad base nursing knowledge, while maintaining a healthy work/life balance; _Logistics Health Inc._....
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National Nurse Reviewer

Auto Injury Solutions - 22 reviews - Remote
BSN/Registered Nurse required-current and unencumbered US RN license is required. Ability to write a clear, professional nurse summary report is required....
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Nurse Reviewer Specialty- AIM Glendale

Anthem, Inc. - 1,871 reviews - Glendale, CA 91205
Nurse Reviewer I or Nurse Reviewer Associate. Nurse Reviewer I position:. Experienced Nurses join AIM as Nurse Reviewers....

Utilization Management Representative I - San Diego, CA - 12...

Anthem, Inc. - 1,871 reviews - San Diego, CA 92101  +4 locations
Refers cases requiring clinical review to a Nurse reviewer. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater...
Clinical Reviewer - RN Required
Black Stone - 12 reviews - Maumee, OH
Registered Nurse with an Ohio license. Exciting Opportunity for a Clinical Reviewer (RN) in Home Care ~. Has at least one year of experience as a home care...
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Facility Site Review Nurse Specialist, RN
L.A. Care Health Plan - 33 reviews - Los Angeles, CA 90017
FSR Nurse Specialist, RN. CPHQ and DHCS RN Reviewer or Trainer certification; BSN, Department of Health Care Services - Certified Site Reviewer (DHCS-CSR)...
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