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Registered Nurse- OASIS Review and Coding
Registered Nurse (RN). The OASIS Review and Coding Nurse assists the Nurse Managers in ensuring compliance with all regulations and guidelines....
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DRG Clinical Reviewer - Registered Nurse (RN)
Lee's Summit Medical Center - 7 reviews - Lees Summit, MO 64063
OF DUTIES: The purpose of this position is to create consistency and efficiency in inpatient claims processing and data collection to optimize DRG
Registered Nurse - Clinical Reviewer
Menorah Medical Center - 38 reviews - Overland Park, KS
Registered Nurse – Clinical Reviewer. The RN Clinical Reviewer. The RN Clinical Reviewer facilitates. Clinical Reviewer supports regulatory compliance with...

Remote Medical Review RN - Part B/DME - Casual Status

NCI Information Systems, Inc. - 5 reviews - Nashville, TN  +3 locations
Graduate from an accredited nursing education program and has an active, current license as a Registered Nurse....

OASIS Review RN (REMOTE)

McBee - Charlotte, NC 28270 (Oxford Hunt area)
OASIS & CODING REVIEW NURSE - FULL-TIME (100% Remote). We are looking for talented reviewers to join our team of nurses and therapists from across the United...
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Nurse - Appeals DRG Auditor - Remote

HMS - 538 reviews - Texas, AL
Clinical Quality Reviewer. Nurse - Appeals DRG Auditor - Remote. Coordinate with, and assist, Project Managers in performing ongoing IQC for all Nurse Reviewers...

Nurse Medical Management I/II/Sr. (Telecommute) - 130113VMJ

Anthem, Inc. - 2,104 reviews - New Hampshire
Nurse Med Mgmt I. Nurse Medical Management I/II/Sr. Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost...

Clinical Reviewer - LPN/RN

KePRO - 23 reviews - United States
Clinical Reviewers - LPN/RN. BFCC Short Stay Clinical Nurse Reviewers will be responsible for conducting “Revised Determination Reviews” on a sample of...

Remote Nurse/Allied Health Professional Reviewer

Healthcare Quality Strategies, Inc. (HQSI) - East Brunswick, NJ
Remote Nurse/Allied Health Professional Reviewer*. For each appeal, screen medical cases and write an accurate, clear and concise summary for review by...
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Clinical Quality Reviewer - SNF Utilization Review - Remote

HMS - 538 reviews - Texas, AL
Clinical Quality Reviewer. Clinical Quality Reviewer - SNF Utilization Review - Remote. Coordinate with, and assist, Project Managers in performing ongoing IQC...

Clinical Quality Reviewer - Utilization Review - Remote

HMS - 538 reviews - Texas, AL
Clinical Quality Reviewer. Clinical Quality Reviewer - Utilization Review - Remote. Coordinate with, and assist, Project Managers in performing ongoing IQC for...

Medical Case Manager/Shelby County and West TN Region (Selec...

BlueCross BlueShield of Tennessee - 4,125 reviews - Memphis, TN
Prefer two (2) years’ experience as practicing nurse, nurse educator or nurse consultant in special populations ( Developmental Disabilities) specific programs...

RN Clinical Review - REMOTE / CONTRACTOR

KePRO - 23 reviews - United States
RN Clinical Reviewer – Contract Position. Performs determinations to adults with chronic illness or disability and who are either Medicaid recipients or are...
Nurse Reviewer
Mercy - 216 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....
Medicare Set Aside Nurse Reviewer
Medicare Set Aside (MSA) Nurse Reviewer will compose a written document that provides a comprehensive, clear, and concise analysis of medical records provided...
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