Precertification Nurse jobs

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Nurse Reviewer I or Nurse Reviewer Associate - Glendale, CA...
Anthem, Inc. 626 reviews - Glendale, CA
Experienced Nurses join AIM as Nurse Reviewers. Nurse Reviewer I or Nurse Reviewer Associate. Nurse Reviewer I position:....
Sponsored by Anthem, Inc.
Utilization Review Nurse
Network Medical Staffing - Santa Monica, CA
Utilization Review Nurse, Santa Monica, CA*. Utilization Review Nurse with background in Psychiatrics preferred:....
Easily apply
Sponsored by Network Medical Staffing
RN Assessment Counselor Triage Behavioral Nurse
Dominion Hospital - Falls Church - Falls Church, VA
Completes insurance precertifications in a timely fashion. Notifies physician of problems with precertifications and need for peer-to-peer review in a timely...
Sponsored by HCA Inc

Precertification Nurse

Lehigh Valley Health Network 134 reviews - Allentown, PA
Join us in applying for our Precertification Nurse position in the Precertification department. Department Precertification Department....

RN Case Manager - Remote in WY or surrounding states to WY

Xerox 3,836 reviews - Helena, MT 59626 (West area)  +3 locations
Individual case/disease management/advocacy services, precertification of selected services or procedures, concurrent review, discharge planning and...

RN Case Manager - Observation Unit

Memorial Hermann 154 reviews - Houston, TX
O Facilitation of precertification and payor authorization processes. Current and valid license to practice as a Registered Nurse (ADN or BSN) in the state of...

Clinical Nurse

UnityPoint Health 12 reviews - Cedar Rapids, IA  +9 locations
Graduate of an accredited program for Registered Nurses. Current license to practice nursing in the State of Iowa/Illinois for Registered Nurse....

RN Case Manager - Experienced RN Internship

Memorial Hermann 154 reviews - Houston, TX
O Facilitation of precertification and payor authorization processes. Current and valid license to practice as a Registered Nurse (ADN or BSN) in the state of...

CASE MANAGER RN - 20 HOUR DAY

North Shore Medical Center(NSMC) - Salem, MA
Nurse Case Manager. Will refer the patient to admitting personnel once appropriateness of setting and care requirements are met to obtain preauthorization /...

RN Coord/Outpatient Pulmonology Clinic

Le Bonheur Children's Hospital 13 reviews - Memphis, TN
Precertification, coordination of diagnostic testing and follow-up with. RN with current license to practice as a professional nurse in the....

Medical Appeals/Grievance Specialist Registered Nurse

Blue Cross Blue Shield of Arizona 14 reviews - Phoenix, AZ
Demonstrate ability to complete all types of level one appeals, grievances and corrected claims using appropriate benefit plan booklet, administrative...

Registered Nurse

AdCare 6 reviews - N Kingstown, RI
Registered nurse, rn, nursing, medical, hospital, treatment. The Registered Nurse is responsible for all patients on the unit....

Intake Coordinator

AmeriBen 7 reviews - Meridian, ID
Assist with provider calls for Nurse Case Managers. Assist with letters and faxes for Nurse Case Managers. Take calls for and transfer calls to the Nurse Case...
Utilization Review Nurse
Mercy 109 reviews - Springfield, MO
Coordinates and performs precertification, out of network precertification, inpatient concurrent review, retrospective review, reconsiderations and appeals....
Sponsored by Mercy
Utilization Review RN Psychiatric
Network Medical Staffing - Glendale, AZ
Utilization Review Nurse/ Bachelors Degree*. Utilizes knowledge of managed care process including precertification and concurrent review....
Easily apply
Sponsored by Network Medical Staffing

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