Nurse Reviewer jobs

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Nurse Reviewer I or Nurse Reviewer Associate - Westchester,...
Anthem, Inc. 584 reviews - Westchester, IL
Nurse Reviewer I or Nurse Reviewer Associate. Nurse Reviewer I position:. Experienced Nurses join AIM as Nurse Reviewers....
Sponsored by Anthem, Inc. - 6 hours ago
Registered Nurse Clinical Documentation Reviewer
Overland Park Regional Medical Center 16 reviews - Overland Park, KS
The HCA Physician Services Group (PSG) is the physician solution for the Hospital Corporation of America. PSG makes it easier for physicians to practice
Sponsored by HCA Inc - 30+ days ago

Medical Investigator I

Excellus BlueCross BlueShield - Syracuse, NY - +1 location
Serves as an internal auditor/peer reviewer for new clinical staff, as needed. Registered Nurse with current NYS license and a minimum of four years’ clinical...

Nurse Reviewer

Zenith-American 5 reviews - San Francisco, CA
Registered Nurse RN License. We are currently looking for an outstanding Nurse Reviewer with the necessary skills, initiative, and personality, along with the...

Medical Field-Based Chart Reviewer/Collector (RN/LPN/CNA/MA)

Inovalon 102 reviews - Farmville, VA - 100+ locations
Inovalon is the nation’s largest medical record reviewer. Registered Nurse or LPN, CNA or Medical Assistant; Inovalon reviewers are provided with a laptop and...

Nurse Reviewer

HMS 383 reviews - East Windsor, NJ
Requisition Title : Nurse Reviewer ( 150010CQ ) The Nurse Reviewer is responsible for performing clinical reviews of medical information and quality

Field-Base Chart Reviewer/Collector (RN/LPN/CNA/MA)

Inovalon 102 reviews - Kalamazoo, MI - +3 locations
Inovalon is the nation’s largest medical record reviewer. Registered Nurse or LPN, CNA or Medical Assistant; Inovalon reviewers are provided with a laptop and...

Quality Nurse Reviewer

Tufts Health Plan 65 reviews - Watertown, MA
The Quality Nurse Reviewer is responsible for working independently to retrieve, review, abstract, and enter pertinent medical data required for certain HEDIS...

Registered Nurse (Clinical Reviewer)

Department of Veterans Affairs 981 reviews - Pearl, MS
Responsibilities of the Clinical Reviewer Registered Nurse include the following:. The Veterans Health Administration (VHA), Chief Business Office (CBO),...

Disability Reviewer II

Commonwealth of Massachusetts 80 reviews - Shrewsbury, MA
MAJOR RESPONSIBILITIES: Assume responsibility for being an emergent intervention agent when confronted with a client in a crisis situation Contact providers,

Medical Reviewer RN

Blue Cross Blue Shield 1,549 reviews - Austin, TX - +2 locations
Registered Nurse with current, active, unrestricted Registered Nurse (RN) license in the state of operations(or reciprocity)....

RN - Reviewer Contract Compliance

Memorial Healthcare System 41 reviews - Florida, PR - +1 location
Florida State licensure as a Registered Nurse (RN). Completes appeal documents based on medical necessity and appropriateness of services in response to denials...
MSA Nurse Reviewer
Helios 20 reviews - Tampa, FL
Certified Case Manager (CCM), Life Care Planner (LCP), Certified Insurance Rehabilitation Specialist (CIRS), Certified Rehabilitation Registered Nurse (CRRN),...
Sponsored by Helios - 30+ days ago
Behavioral Health Case Manager I / II / Sr. - Telecommute fr...
Anthem, Inc. 584 reviews - Parkersburg, WV
Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...
Sponsored by Anthem, Inc. - 5 days ago
Registered Nurse - Concurrent Reviewer Quality
South Austin Medical Center 8 reviews - Austin, TX
Position Summary: The QO Analyst is responsible for the concurrent and retrospective review needed to assure hospital-wide compliance with core measure
Sponsored by HCA Inc - 18 days ago

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