Remote Medical Record Review Nurse jobs

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Utlilization Review RN Job
The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...
Nurse Medical Mgmt I or II - California - In Office or Remot...
Anthem, Inc. - 2,559 reviews - Thousand Oaks, CA 91362
Nurse Medical Mgmt I:. Nurse Medical Mgmt II:. Nurse Medical Mgmt I or II – California – In nearby Office or Remote....
RN Care Manager
Inclusa, Inc. - Mauston, WI
Participates in utilization review process. We are looking for a Registered Nurse; Comprehensive Benefits – Includes medical, vision, and dental insurance....

Clinical Reviewer RN - Work At Home (Weekend Hours Required)

Cigna - 2,674 reviews - Nashville, TN
Registered Nurse, Associate degree or higher. Determine whether additional pre service, appeal or grievance reviews are required and/or whether additional...

Clinical Fraud Investigator RN

Humana - 3,383 reviews - Louisville, KY
Assist with case development by providing clinical expertise when performing medical record reviews. Ability to review medical records adhering to department...
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Care Management Nurse

McBee - Remote
Proficiency in medical record review. Review electronic medical records of emergency department admissions and screen for medical necessity, using InterQual...
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Utilization Review Nurse

CORPORATE OFFICE-REMOTE - King of Prussia, PA 19406
Performs independent, criteria based, documentation assessment, via medical record review and discussion with the physician as needed, on all patients referred....

Remote Coding Data Review Consultant

Inovalon - 306 reviews - Remote
Accurately and efficiently conduct medical record review/abstraction services; We are seeking a Nurse Abstractors to conduct chart reviews for purposes of...

Remote Quality Assurance Specialist, LPN or RN 11:00am-7:30p...

Dane Street - 11 reviews - Palm Beach Gardens, FL 33418
Minimum of two years of experience in medical terminology, nursing, claims management, utilization review, pre-certification, medical administration or QA in a...
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Revenue Integrity Analyst Registered Nurse- Work from Home

RI - Atlanta - Norcross, GA
Interact with ancillary departments to obtain additional information needed to properly bill account based on medical record....

RN-ESRD Medical Reviewer-Remote position

HCD International - 3 reviews - Remote
Experience with medical records review. ESRD Records review:. HCD International is in need of ESRD Medical Reviewers who will review individual medical records...
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Registered Nurse, RN - Utilization Review (Work From Home)

Richmond FSC - Richmond, VA
Experience with Midas (or other utilization review programs). Review the Certification / Authorization report daily to determine deficiencies....

Medical Case Manager - Work From Home!

Broadspire - 99 reviews - DuBois, PA   +4 locations
A registered nurse (RN) license. Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual’s medical status,...
Nurse Medical Management I or II - Remote in California (Mus...
This position may be filled at either the Nurse Medical Management I or II level. Medical surgical or ICU);...
Clinical Review Nurse Meachnicsburg, PA
Novitas Solutions, Inc. - Mechanicsburg, PA 17050
The incumbent applies clinical knowledge to assess the medical necessity, level of services and appropriateness of care which may include cases requiring prior...