Medical Review Nurse jobs

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Nurse Medical Management I, II or Sr
WellPoint 429 reviews - Brookfield, WI
you can imagine. NURSE MEDICAL MGMT Responsible for... medical policy, and member eligibility, benefits, and contracts. Ensures member access to medical...
Sponsored by WellPoint - 7 days ago
REGISTERED NURSE
Harnett Health System 6 reviews - Lillington, NC
to set goals and review patient outcomes. Uses... indicated by patients' responses and conditions. Reviews medical plan of care and assures implementation...
Sponsored by Harnett Health System - 15 days ago

RN – Charge RN - Telemetry OBS Unit (Days/Full-Time)

Chandler Regional Medical Center 394 reviews - Chandler, AZ 85224
Responsible for the review of the patients in observation status using pre-established criteria to continually evaluate appropriateness of admission status,...
Dignity Health - 2 days ago - save job - email - more...

Registered Nurse (RN) - Senior Nurse Reviewer

Aetna 336 reviews - Portland, ME
Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render a medical opinion of...
3 days ago - save job - email - more...

RN Case Manager / Utilization Review

California Hospital Medical Center 394 reviews - Los Angeles, CA 90015
Under the general supervision of the Case Management Supervisor, the Case Manager will review, assess, and identify high risk cases and high resource...
Dignity Health - 13 days ago - save job - email - more...

COORD TELEHEALTH NETWORK RN

Mercy San Juan Medical Center 394 reviews - Carmichael, CA 95608
o Is able to work well with medical staff and patients to facilitate safe and effective clinical consultations....
Dignity Health - 10 days ago - save job - email - more...

WIC Health Professional I - PRN

New Hope Services, Inc. - Clark County, IN - +1 location
d) Calibration, maintenance, cleaning, arranging annual state inspection for medical equipment. e) Promotes breastfeeding as preferred method of infant feeding....
3 days ago - save job - email - more...

RN/Medical Audit Nurse Coordinator

Carolinas HealthCare System 104 reviews - Charlotte, NC
Current Registered Nurse licensure by the Board of North Carolina Nursing required. Previous experience with RAC claims denials....
10 days ago - save job - email - more...

National Nurse Reviewer

Auto Injury Solutions 11 reviews - Lakewood, CO
(1) Bill Review Solutions, which involve the review of first party medical claims, (2) Medical Advisory Solutions, which include nurse case management,...
Easily apply
1 day ago - save job - email - more...

Retrospective Appeals Nurse

UPMC 200 reviews - Pittsburgh, PA
UPMC Corporate Services is hiring a Full-Time Retrospective Appeals Nurse to help support the Care Management Department for its UPMC Corporate Services South...
4 hours ago - save job - email - more...

Insurance Appeals Nurse

Patient Accounts Services, LLC - Houston, TX
The core responsibilities of an Insurance Appeals Nurse include research, medical records review, insurance billing and adjustment identification to ensure...
8 hours ago - save job - email - more...

Onsite RN - Oak Brook IL Area

Humana Inc. 635 reviews - Oak Brook, IL
Onsite Nurse - RN - Acute and Post-Acute Settings. Sr. Work-At-Home with 75% Onsite/Field Work - must live in Chicago-Land area, preferrably Western/South...
CallCenterJobs.com - 7 days ago - save job - email - more...
Women's Center Coordinator
Northeast Georgia Health System - Gainesville, GA
physicians to routinely review service line and seek... mammography peer review is current and the findings are reported to the Radiology QA Medical Director and...
Sponsored by Northeast Georgia Health System - 1 day ago
Gastroenterology Registered Nurse
Westfields Hospital - New Richmond, WI
Full Time - 1.0 FTE - Day hours The GI Registered Nurse will assist the Gastroenterologist in the timely... setting. Knowledge of medical terminology and human...
Easily apply
Sponsored by Westfields Hospital - 9 days ago
DC Medical Claims Review Nurse (RN) - Federal Employee Healt...
CareNational Healthcare Services, LLC - Washington, DC
Medical Claims Review Nurse (RN) - Federal Employee... medical bill analysis relating to state and federal regulations affecting medical billing practice. Review... $55,000 - $83,000 a year
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Sponsored by CareNational Healthcare Services, LLC - 30+ days ago

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Company with Medical Review Nurse jobs
429 reviews
WellPoint is a health benefits company, an independent licensee of the Blue Cross and Blue Shield Association.
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