medical review nurse jobs

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Utilization Review Nurse- (RN)
Winchester Medical Center 74 reviews - Winchester, VA
Licensed as a registered nurse, or eligible for licensure in Commonwealth of VA. Graduate of an accredited nursing program;...
Sponsored by Valley Health (Virginia) - 12 days ago
Nursing Author for NCLEX Review, Remote
UWorld - Irving, TX
Must be a registered nurse with current licensure. Must be proficient in MS Word including review markups. The NCLEX™ Author, Remote will utilize his or her...
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Sponsored by UWorld - 4 days ago
Nurse - Hospital Charge Auditor
Boca Raton Regional Hospital 35 reviews - Boca Raton, FL
Current Florida Licensure as Registered Nurse or LPN. The incumbent will also work closely with the Scheduling Department in verifying appropriate documentation...
Sponsored by Boca Raton Regional Hospital - 12 days ago

Clinical Nurse Reviewer, LPN

Unum 77 reviews - Chattanooga, TN - +3 locations
Licensed Practical Nurse. Conducts analysis of medical information, including current treatment plan. Assess medical information from the perspective of...

RN - Medicare Claims Reviewer (Indiana telework)

Catapult Consultants - Indiana - +6 locations
Catapult Consultants is hiring a Lead Claims Review Analyst to perform pre and/or postpay medical review workload for Medicare claims....

Medical Reviewer II

Blue Cross Blue Shield 1,505 reviews - Richardson, TX
This position also responsible for performing review of services for medical necessity, appropriately refer case reviews to the Medical Director for physician...

Medical Record Field Reviewer

Altegra Health 72 reviews - Montgomery, AL - 100+ locations
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

RN Care Manager - utilization Management Nurse

CoreSource 22 reviews - Tucson, AZ - +1 location
Perform medical claims review as required. Perform prospective, concurrent, and retrospective reviews to ensure the medical necessity and appropriateness of all...

Medical Review Nurse

NCI Information Systems, Inc. 123 reviews - Omaha, NE - +8 locations
As the Medical Review Nurse ( Medical Reviewer ), you are responsible for conducting clinical reviews of medical records during the course of fraud...

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

Inovalon 98 reviews - Kenansville, NC - +38 locations
Registered Nurse or LPN, CNA or Medical Assistant; Scan relevant components of the medical record to support reviews performed;...

Registerd Nurse - RN Utilization Management Nurse Consultant

Aetna 465 reviews - Pittsburgh, PA
Nursing/Registered Nurse is required. Benefits Management/Interacting with Medical Professionals/ADVANCED. Click here to review the benefits associated with...

Registered Nurse (RN) - Workers' Comp Field Case Manager

Aetna 465 reviews - Charlotte, NC - +9 locations
Click here to review the benefits associated with this position. Active and unrestricted Registered Nurse (RN) license in the state of North Carolina required....

Nurse Medical Case Manager - Workers' Compensation - El Mont...

The Travelers Companies, Inc. - Diamond Bar, CA - +2 locations
Office based telephonic medical case management with emphasis on early intervention, return to work planning, coordination of quality medical care on claims...
Quality Nurse Consultant I, Peer Review 3-6 Mo Contract
Kaiser Permanente 2,237 reviews - Oakland, CA
Educates physicians and staff regarding regional projects or regulatory reviews, i.e. the interpretation of regulatory requirements and the methods of...
Sponsored by Kaiser Permanente - 23 days ago
Clinical Documentation Improvement Specialist (Coder or RN R...
MountainStar Healthcare - Cottonwood Heights, UT
Reviews 85% or greater of targeted patients for facility, or two new reviews or three re-reviews per hour. The Clinical Documentation Improvement Specialist...
Sponsored by HCA Inc - 2 days ago

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Company with medical review nurse jobs
74 reviews
Valley Health is a nonprofit serving the healthcare needs of people in and around the Top of Virginia, as well as parts of WV and MD