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Registered Nurse Chart Reviewer
Independent Nursing Care - Rochester, NY
$30 an hour
The Clinical Documentation Review Nurse will be responsible for reviewing assigned medical records, and should be fully computer literate....
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Nebraska Practice Quality Reviewer
COPIC - 3 reviews - Omaha, NE
$63,500 - $76,200 a year
Job Summary BASIC PURPOSE OF THIS JOB: Provides competent and consistent physician Practice Quality site visits, communication, education, planning,...
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RN - Acute Care or UM - Nurse Medical Management I - Work Re...
Anthem, Inc. - 2,638 reviews - Charleston, WV
Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...
Clinical QA Nurse
RN. Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists....

RN Clinical DRG Auditor - Remote

HMS Holdings - 21 reviews - Remote
Clinical DRG Auditor*. Current/Active RN license required; Applies critical review judgment to make clinical determinations of medical information reviewed....
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RN Clinical Reviewer

Keystone Peer Review - 47 reviews - Richmond, VA   +1 location
Clinical Reviewer - RN. Active unrestricted RN State clinical license required. Strong clinical assessment and critical thinking skills required....

RN Coding Auditor - Remote

HMS Holdings - 21 reviews - Remote
Current/Active RN license required; Applies critical review judgment to make clinical determinations of medical information reviewed....
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Nurse Case Reviewer

Maryland Department of Transportation - 23 reviews - Anne Arundel County, MD
$46,857 - $75,012 a year
Two years nursing experience in a clinical setting. The Maryland Department of Transportation Motor Vehicle Administration (MDOT MVA) is seeking an experienced...

RN Medicare Nurse Medical Mgmt I or II (Acute UM) - Remote -...

Anthem, Inc. - 2,638 reviews - Indianapolis, IN
Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...

RN Clinical DRG Auditor - Remote

HMS - 610 reviews - Ohio
Current/Active RN license required; Applies critical review judgment to make clinical determinations of medical information reviewed....

Nurse Reviewer

FHAS - Plymouth, PA
Candidates must have a current, unrestricted state license as an RN and 2+ years of clinical experience. Federal Hearings & Appeals Services is seeking full...
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Nurse Reviewer, Utilization 3

Mitchell International, Inc. - 9 reviews - United States
Mitchell’s Nurse Reviewers are Registered Nurses and will typically have at least 3 years clinical experience and one year within utilization review....

Outside Care Clinic Reviewer RN

Kaiser Permanente - 6,495 reviews - Pasadena, CA
Identifies clinical criteria as defined by regulations and Medical Group to be applied in adjudication process....

Clinical Review Nurse

First Coast Service Options, Inc. - Columbus, GA
RN. Current Clinical Licensure:. O Perform clinical review work as assigned; Certified Professional Coder/Certified Professional Utilization Reviewer....
RN / Oasis Reviewer
Care Resource - Providence, RI
OASIS 485 Documentation Reviewer*. Collaborate with all management teams to develop clinical strategies and implements UM processes and practices that achieve...
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RN Medicare Nurse Medical Mgmt I or II (Acute UM) - Remote -...
Anthem, Inc. - 2,638 reviews - Indianapolis, IN
Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...