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Clinical Nurse Reviewer - Melbourne, Florida
To be a strong fit for the role of Clinical Reviewer opportunity, you will need:. We have multiple Clinical Reviewer positions available in Melbourne, so feel...
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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Appeals Reviewer RN - Case Management Resource Center
Adventist Health Southern California - Glendale, CA 91222
The Appeals Reviewer RN is responsible for recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review, and the...

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

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

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

Anthem, Inc. - 2,106 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...

Clinical Care Reviewer, Per Diem, Registered Nurse

AmeriHealth Caritas - 219 reviews - Charleston, SC  +1 location
Registered Nurse graduated from an accredited Diploma, Associates Degree or Bachelor’s Degree program. Refers cases to Medical Director for medical necessity...

Nurse Reviewer

Health Services Advisory Group, Inc. - Honolulu, HI 96814 (Makiki area)
The HI nurse reviewer is responsible for using professional judgement to apply the appropriate, established screening criteria....

Nurse Reviewer

HMS - 538 reviews - New Jersey
Interacts with physician reviewers. Provides supporting reference documentation to the reviewer. Assigns case reviews by identifying the issues for review and...

Nurse Reviewer - Short Stay

SCIO Health Analytics - 18 reviews - Jacksonville, FL
SCIO Health Analytics is looking for an experienced and licensed Nurse Reviewer working in a home office to join our team of contractors....

Claims Nurse Reviewer

Familycare Inc - Portland, OR
The Claims Nurse Reviewer is accountable for performing and delivering an exceptional level of productivity and service....

Surgical Case Nurse Reviewer

Chenega Corporation - 265 reviews - Nellis AFB, NV  +2 locations
Surgical Case Nurse Reviewer (SCNR). Reviewers within the program through Inter-Rater Reliability (IRR) testing. The....

Certification Appeals Nurse

Trusted Health Plan - Detroit, MI
Engagement of appropriate peer reviewers when necessary and for CSHCS enrollees. The Certification Appeals Nurse, under the direction of the Manager of...
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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....
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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