medical review nurse jobs

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Private Duty RN - Home Healthcare - Waco, NE area
Children's Hospital & Medical Center - Omaha - York, NE
The Private Duty Registered Nurse provides direct and... spiritual, family influences and physical/medical needs. Demonstrates clinical competence in...
Sponsored by Children's Hospital & Medical Center - Omaha - 30+ days ago
Quality and Training Nurse
Advance Health 22 reviews - Chantilly, VA
and Training Nurse who will be responsible for ensuring the quality of services delivered by our providers through health risk assessment review and provider...
Sponsored by Advance Health - 23 hours ago
Inpatient Dialysis Services RN 5 000 Sign On Bonus! (Detroit...
Fresenius Medical Care 816 reviews - Jackson, MI
following: Fresenius Medical Care is the nation’s... designated medical record thoroughly, accurately and in a timely manner. Reviews treatment documentation...
Sponsored by Fresenius Medical Care - 10 days ago

Concurrent Review Nurse

Meritage Medical Network - Novato, CA 94949
Meritage Medical Network has an excellent full-time career opportunity for a Concurrent Review Nurse located at our Novato office....
Easily apply
16 hours ago - save job - block - email - more...

Discharge Care Manager RN - Work from Home

UnitedHealth Group 1,481 reviews - Pittsburgh, PA
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
1 day ago - save job - block - email - more...

Telephonic Utilization Management RN - Work from Home in Tex...

UnitedHealth Group 1,481 reviews - Dallas, TX - +2 locations
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
3 days ago - save job - block - email - more...

Medical record review nurse

BJD DOC - San Jose, CA
Review and dictate an abstract of medical records. This information will be used for insurance evaluations of patient claims....
Easily apply
2 days ago - save job - block - email - more...

Utilization Review Nurse

Riverside Physician Network - Riverside, CA
We are looking for a CA Licensed RN or LVN with minimum 2 years HMO/managed care experience doing clinical guideline review of requested services based on...
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2 days ago - save job - block - email - more...

Medical Review Nurse

NCI Information Systems, Inc. 98 reviews - Omaha, NE - +1 location
As the Medicare Medical Review Nurse (Medical Reviewer III) for Advance. Med, you will conduct clinical reviews of medical records to support fraud...
11 hours ago - save job - block - email - more...

Medicaid Case Management EPST Coordinator ( Job Number: 2854...

Kaiser Permanente 1,708 reviews - Honolulu, HI
Reviews medical records to determine EPSDT compliance. services and follow-up to outreach nurses and case management assistants....
15 hours ago - save job - block - email - more...

Medical Review RN Clinical Analyst

HP 2,720 reviews - Hingham, MA
is the Medical Equipment Medicare Administrative Contractor Jurisdiction A Contractor for Connecticut, Delaware, District of Columbia, Maine, Maryland,...
13 days ago - save job - block - email - more...

HEDIS Abstractor Nurse - Brentwood, TN

UnitedHealth Group 1,481 reviews - Brentwood, TN
The HEDIS Abstractor Nurse will measure the quality of Preventative and Chronic Care services provided to our Health Plan members....
12 hours ago - save job - block - email - more...

Registered Nurse-School Health

Frederick County Government 6 reviews - Frederick, MD
Supervise and evaluate Licensed Practical Nurses (LPNs) and Health Room Technician-CNA/CMTs (HRTs) in several assigned school buildings.... $25.77 an hour
23 hours ago - save job - block - email - more...
Registered Nurse - Quality Medical Management Care Coordinat...
Providence Health & Services 123 reviews - Beaverton, OR
areas Medical Review (Concurrent Review and Prior... timelines. Medical Claims Audit *1. Review claims pended for medical review or for specified claims...
Sponsored by Providence Health & Services - 3 days ago
Utilization Review Nurse (93125)
WellPoint 440 reviews - Hanover, MD
reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. -Ensures member access to medical...
Sponsored by WellPoint - 2 days ago

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Company with medical review nurse jobs
440 reviews
WellPoint is a health benefits company, an independent licensee of the Blue Cross and Blue Shield Association.
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