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Nurse Reviewer
Mercy - 138 reviews - Springfield, MO
Document additional diagnosis findings and coding queries for each member reviewed on nurse reviewer statistics spreadsheet....
Sponsored
Nurse Medical Mgmt I/II, Northern California, 119414
Anthem, Inc. - 1,583 reviews - Rancho Cordova, CA
Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...
Sponsored
Licensed Utilization Review Nurse II
May access and consult with peer clinical reviewers, Medical Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost...
Sponsored

National Nurse Reviewer

Auto Injury Solutions - 17 reviews - Remote
BSN/Registered Nurse required-current and unencumbered US RN license is required. Ability to write a clear, professional nurse summary report is required....
Easily apply

Medical Field Reviewer

Altegra Health - 149 reviews - Grafton, NH  +24 locations
Medical Record Field Reviewer. We are currently recruiting medical professionals to work as Medical Records Reviewers (Field Reviewers) in your area, EMR/EHR...

QM Nurse Reviewer

Campbell County Memorial Hospital - 7 reviews - Gillette, WY
Registered Nurse, State of Wyoming. Works under the supervision of Quality/Patient Safety Manager....

Medical Field Reviewer **PROJECT BONUS AVAILABLE!

Altegra Health - 149 reviews - Henderson, KY  +11 locations
Medical Record Field Reviewer. We are currently recruiting medical professionals to work as Medical Records Reviewers (Field Reviewers) in your area, EMR/EHR...

RN/Clinical Care Reviewer

PeopleNTech LLC - North Charleston, SC  +1 location
SC Registered Nurse license. Clinical Care Reviewer - UM (449919)*. Current, unrestricted SC Registered Nurse license....
Easily apply

RN Clinical Reviewer - Healthcare

Keystone Peer Review - Concord, NH
RN Clinical Reviewer. KEPRO is a rapidly growing national quality improvement and care management organization....

Medical Records Field Reviewer

Altegra Health - 149 reviews - Haymarket, VA  +92 locations
Altegra is currently recruiting RNs, LPNs, LVNs, CNAs, MA’s, Certified Coders who have extensive experience with EMR/EHR proficiency, and RHIT or RHIA...

Clinical Nurse Reviewer

Commonwealth of Massachusetts - 120 reviews - Quincy, MA
Review Prior Authorization (PA) requests, as assigned, and make clinically appropriate decisions and medical necessity determinations to adjudicate these

Medical Review Nurse (RN) - Indianapolis, IN

RepuCare - 5 reviews - Indianapolis, IN 46204
Consulting with clinical reviewers and/or medical directors to ensure medically appropriate, high quality cost effective care throughout the medical management...

Nurse Reviewer (Fraud and Abuse)

HMSA - 15 reviews - Honolulu, HI 96817 (Liliha-Kapalama area)
Performs under minimal supervision a detailed analysis and review of the medical records applying clinical expertise, knowledge of standard practice to
RN - Concurrent Reviewer - FT - Days
The QO Analyst is responsible for the concurrent and retrospective review needed to assure hospital-wide compliance with core measure guidelines. In the future
Sponsored by HCA Inc
Registered Nurse (RN) Clinical Reviewer
Menorah Medical Center - 25 reviews - Overland Park, KS
Registered Nurse (RN) Clinical Reviewer. Registered Nurse required. The RN Clinical Reviewer supports regulatory compliance with JCAHO standards....
Sponsored by HCA Inc

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Company with Nurse Reviewer jobs
Embark on a health care career of excellence, compassion, and fulfillment with Mercy.