Medical Review Nurse jobs

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Case Manager Registered Nurse (RN)-Care Management Day $5,00...
UAB Medicine - 44 reviews - Birmingham, AL
$57,970 - $92,206 a year
To review case criteria to determine medical necessity for admission and continued stay. Currently licensed or eligible to be licensed as a Registered Nurse (RN...
Clinical/ Denial Auditor: Business Services: RN or LPN
Beebe Healthcare - 41 reviews - Lewes, DE 19958
Medical chart auditing experience. Experience as a Nurse Auditor with a hospital or audit firm. Minimum of Associates Degree in Nursing or Health Information...
Director Quality Management - San Diego, CA - 10k Sign On Bo...
Director Quality Management, DQM, Quality, Director, RN, Registered Nurse, Medical Staff, Hospital Staff, Governing Body, JCAHO, Nursing, Clinical Nurse,...
Medical Director
Provide utilization review of medical charts, especially those corresponding to patients seen by part-time staff....

RN-ESRD Medical Reviewer-Remote position

HCD International - 3 reviews - Remote
Experience with medical records review. ESRD Records review:. HCD International is in need of ESRD Medical Reviewers who will review individual medical records...
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Clinical Review Specialist (remote/nationwide-some travel re...

Accreditation Commission for Health Care - Cary, NC 27513
Registered Nurse (RN). Document all reviews per ACHC protocols. Complete the Company Review Form and present the findings of the survey to the Accreditation...
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Medical Review Examiner (Nurse)

Integrity Management Services, Inc. - Alexandria, VA 22315
Demonstrated proficiency in Medical Review work. Area is seeking Medical Review Examiner/Nurses to join our team....
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Occupational Health Nurse

Federal Bureau of Investigation - 321 reviews - Newark, NJ
$84,035 - $109,245 a year
Providing medical care in a medical or occupational health setting. Responsible for fitness for duty examinations for annual health reviews of all employees in...

Clinical Quality Management Analyst - RN or LPN and Medical...

Highmark Health - 85 reviews - Work at Home
Perform special studies per audits, conducting office site visits and medical records reviews, ensuring improvement in performance for various initiatives in a...

Clinical Reviewer RN - Work At Home (Weekend Hours Required)

Cigna - 2,670 reviews - Nashville, TN
Registered Nurse, Associate degree or higher. Determine whether additional pre service, appeal or grievance reviews are required and/or whether additional...

Clinical Document Specialist (RN)

Stanford Health Care - 277 reviews - Pleasanton, CA 94588
Concurrently reviews inpatient medical records to identify documentation opportunities:. Conducts follow-up reviews to ensure points of clarification have been...

Clinical Documentation Improvement Specialist

Methodist Hospital - 471 reviews - San Antonio, TX 78229
Registered Nurse, preferred; Utilization Review or coding experience preferred. Facilitates modifications to medical record documentation through appropriate...

Quality Care Facility Review Specialist 1

New York State Justice Center For The Protection O... - Rochester, NY
$55,494 - $70,566 a year
A medical facility; Preferred candidate will be a licensed registered nurse. Conduct interviews, review and collect records, and gather/prepare relevant...

Remote HEDIS Reviewer/Abstractor-RN/LPN Nurse

MedViewHealth - Phoenix, AZ
Minimum 2 years’ experience performing HEDIS hybrid medical record reviews. Will review and complete abstraction of medical record data applying NCQA Technical...
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Utilization Review RN Austin Round Rock
The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...
Utlilization Review RN Job
The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...