Nurse Reviewer $70,000 jobs

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Utilization Review Nurse - Maryland (100180)
Anthem, Inc. 513 reviews - Hanover, MD
Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...
Sponsored by Anthem, Inc. - 1 day ago
RN Quality Improvment Coordinator
Kline Galland Home Health and Hospice - Seattle, WA
°Registered nurse with current licensure to practice professional nursing in the state of WA. °Serves as primary reviewer of daily documentation to assure...
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Sponsored by Kline Galland Home Health and Hospice - 2 days ago
Operations Manager / RN
Academic Primary Care Associates - Blacksburg, VA
Initial reviewer for complaints regarding nursing staff. In coordination with the Floor Manager, conduct annual performance reviews of office nurse staff....
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Sponsored by Academic Primary Care Associates - 30+ days ago

Utilization Review Nurse - Maryland (100180)

Anthem, Inc. 513 reviews - Hanover, MD 21076
Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...
1 day ago - save job - email - more...

RN Quality Improvment Coordinator

Kline Galland Home Health and Hospice - Seattle, WA
°Registered nurse with current licensure to practice professional nursing in the state of WA. °Serves as primary reviewer of daily documentation to assure...
Easily apply
2 days ago - save job - email - more...

Nurse Care Mgr I/II/Sr - Telecommuting (100022VMJ)

Anthem, Inc. 513 reviews - Albany, NY 12201 - +1 location
Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of care, intervention planning, and general clinical guidance....
2 days ago - save job - email - more...

Banner Health: Travel Nurse Reviewer-AZ

Banner Health 355 reviews - Mesa, AZ
We are currently looking for an experienced Nurse Reviewer. Requires Registered Nurse (R.N.). Works with authorized payors or reviewers to resolve denial...
3 days ago - save job - email - more...

Nurse Medical Management I/II (California -Telecommuting) -...

Anthem, Inc. 513 reviews - Woodland Hills, CA 91302
Nurse Medical Management I/II. Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care...
8 days ago - save job - email - more...

Utilization Review Nurse

HealthSmart Care Management Solutions - Irving, TX
Provides educational opportunities to the UM staff including consultation and support to nurse reviewers. To identify individuals which may benefit from case...
HealthSmart - 12 days ago - save job - email - more...

CLINICAL CLAIMS REVIEWER (RN)

Sentara 149 reviews - Virginia Beach, VA
Responsible for the coordination, investigation, documentation and resolution of provider inquiries and reconsiderations ensuring compliance with Optima
4 days ago - save job - email - more...

Manager of Utilization Management-IL

Meridian Health Plan 33 reviews - Chicago, IL - +1 location
Conducts inter-rater reliability tests and audits among Nurse Reviewers, Pre-Service Nurse Reviewers, Transitional Case Managers and Utilization Management Care...
4 days ago - save job - email - more...

Utilization Management Nurse Reviewer

Evolent Health 4 reviews - Arlington, VA
Evolent Health is seeking an experienced nurse who has case management and utilization management experience to join the population health team as a Utilization...
5 days ago - save job - email - more...

Coordinator Quality

St David's Medical Center 2 reviews - Austin, TX 78705 (Hancock - West Campus area)
Current Texas Registered Nurse License. Registered Nurse with Bachelor of Science in Nursing. Manager the Physician Performance Improvement program and Clinical...
St. David's Healthcare - 19 days ago - save job - email - more...
Clinical Care Reviewer UM- Registered Nurse
AmeriHealth Caritas 40 reviews - Washington, DC
Required Licensed Practical Nurse, Social Worker or Registered Nurse graduated from an accredited program. Required current unrestricted Registered Nurse or...
Sponsored by AmeriHealth Caritas - 30+ days ago
RN Nurse Case Manager
Valforce, Inc. - Pinellas Park, FL
NURSE CASE MANAGEMENT. Nationally Certified Case Managers shall provide case management duties as further described, however, in addition, will function as the...
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Sponsored by Valforce, Inc. - 27 days ago

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Company with Nurse Reviewer $70,000 jobs
513 reviews
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.