Medical Review Nurse jobs

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Clinical Reviewer
eviCore healthcare - Franklin, TN
Conducts initial medical review to determine medical necessity of elective outpatient comprehensive imaging requests. UM Nurse Reviewer....
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RN-Registered Nurse-Clinical Risk Consultant-Stop Loss-Risk...
Nurse Resolutions - Houston, TX
$95,000 a year
Review transplants for medical appropriateness and coverage. Reviews medical claims for cost savings opportunities using established guidelines....
Easily apply
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Assisted Living Nurse
Barrett Business Services, Inc. - Ephrata, WA
Licensed Practical Nurse or Registered Nurse. Reviews and maintains patient’s rights and responsibilities. The nurse oversees the completion of all necessary...
Easily apply
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Clinical Quality Analyst

Clackamas County 12 reviews - Clackamas County, OR
Experience with Medical Billing and Coding. Experience with the EPIC electronic medical record. Registered Nurse licensure in the State of Oregon....

Nurse Abstractor

Medical College of Wisconsin 76 reviews - Milwaukee, WI
Ability to perform medical record review for the purpose of identification of real or potential variances in care and the monitoring of documentation practices....

Clinical Quality Care Analyst

CareSource 55 reviews - Dayton, OH
Review QOC cases, as needed, with the Medical Director/Chief Medical Officer (CMO) and carry out actions as indicated by the CMO....

RN Data Abstractor/Reviewer/Coder

Allied Services - Wilkes-Barre, PA
Responsible for administrative review of all records (OASIS review) for the Home Health Division. Registered Nurse in the State Of Pennsylvania....
Easily apply

Medical Review Nurse (MRN)

Provider Resources Inc - Erie, PA 16505  +2 locations
Reporting to the Lead Nurse Manager, the Medical Review Nurse (MRN) will provide professional assessment, planning, coordination, implementation and reporting...

Prior Authorization Specialist (Non Clinical Spport Analyst)

Maxary - Austin, TX 78727
$17.78 an hour
Strong computer skills and knowledge of computer-based medical programs with the ability to learn additional medical programs, required....
Easily apply

Medical Record Field Reviewer

Altegra Health 115 reviews - Miami, FL  100+ locations
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

Clinical Review Nurse-UM-Part Time-Days-THR

Texas Health Resources 191 reviews - Arlington, TX 76011 (East area)
Review process with insurance medical directors as. Utilizing medical necessity criteria and third party payer guidelines....

Clinical Reviewer- Utilization Review Nurse

The Hartford Financial Services 331 reviews - United States
Clinical Reviewer – Utilization Review Nurse. P&C SRS Nurse Case Mgmt. Licensure as a Registered Nurse required....

Medical Review Nurse Auditor

Performant Financial Corporation 4 reviews - San Angelo, TX
Conduct medical chart reviews. Experience in conducting medical audits, investigations, reviewing and researching post service claims for aberrant billing...
Medical Review Nurse
StrategicHealthSolutions 2 reviews - Franklin, TN
Medical Review Nurse now in Franklin, TN! Medical Review Nurses work Monday through Friday with NO weekends or Holidays!...
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Quality Improvement Specialist
Oregon Medical Group 17 reviews - Eugene, OR
Oregon Medical Group. Must be able to review patient charts and have familiarity with Electronic Medical Records....
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