medical review nurse jobs

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RN Director of Clinical Services +$10k SIgn-On-Bonus
Grace Hospice - 93 reviews - Grand Rapids, MI
Periodically reviews policies relevant to patient care with Medical Director and/or Administrator. Is currently a Registered Nurse licensed in the state of...
Clinical Care Reviewer, Concurrent Review, Registered Nurse
Refers cases to Medical Director for medical necessity review when medical information provided does not support the nurse review process for giving an approval...
RN Regional Quality Review
Regional Quality Review Nurse (RQRN) - Hospice. Assists with review of medical records and clinical notes to evaluate compliance and ongoing patient eligibility...

Medical Review Nurse (TN) - Home-based - Nationwide Openings

Quality Health Strategies - 9 reviews - Nashville, TN   +1 location
The Medical Review Nurse - Claims Analyst is a mid-level professional performing medical record and claims review for Medicare, Medicaid, and/or other claims...
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Medical Review Nurse (BOS) - Home-based - Nationwide Opening...

Quality Health Strategies - 9 reviews - Boston, MA
The Medical Review Nurse - Claims Analyst is a mid-level professional performing medical record and claims review for Medicare, Medicaid, and/or other claims...
Easily apply

Medical Review Nurse (CHI) - Home-based - Nationwide Opening...

Quality Health Strategies - 9 reviews - Chicago, IL
The Medical Review Nurse - Claims Analyst is a mid-level professional performing medical record and claims review for Medicare, Medicaid, and/or other claims...
Easily apply

Medical Review Nurse (ATL) - Home-based - Nationwide Opening...

Quality Health Strategies - 9 reviews - Atlanta, GA 30303 (Five Points area)
The Medical Review Nurse - Claims Analyst is a mid-level professional performing medical record and claims review for Medicare, Medicaid, and/or other claims...
Easily apply

Medical Review Nurse (DEN) - Home-based - Nationwide Opening...

Quality Health Strategies - 9 reviews - Denver, CO
The Medical Review Nurse - Claims Analyst is a mid-level professional performing medical record and claims review for Medicare, Medicaid, and/or other claims...
Easily apply

Clinical Quality Nurse

myNEXUS - 4 reviews - Brentwood, TN
Generate reports /findings of reviews for the Clinical Management Teams:. The Clinical Quality NURSE will highlight key findings for implementation of...
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Clinical Nurse Reviewer

National Medical Reviews, Inc. - Warminster, PA 18974
Clinical Nurse Review Coordinator. Training on medical records review and appeals procedures is provided. NMR’s mission is to provide high-quality, objective,...
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Workers Compensation Utilization Review Case Manager

TRISTAR Risk Management - 35 reviews - United States
Responsible for performing Worker’s Compensation utilization review which includes prospective, concurrent, expedited and retrospective reviews to determine...

Remote Medical Review RN - Casual Status

NCI Information Systems, Inc. - 189 reviews - Baltimore, MD
Medicare Medical Review experience in Parts A and B. As the Remote Medical Review RN - Casual Status ( Medical Reviewer III ) at AdvanceMed, you are responsible...

RN Quality Assurance Reviewer

Integris Health - 99 reviews - Oklahoma City, OK
Reviews charts of patients for compliance and reports concerns to the medical staff. 3 years experience in medical records with 1 year of chart review for...
Nurse RN/LPN - End of Life Care (Part time and On Call posit...
Three Links - 4 reviews - Northfield, MN
Registered Nurse or Licensed Practical Nurse. The *Reflections Suites Nurse*. LPN or Registered Nurse (RN) -*....
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Registered Nurse Case Manager (RN) - Care Management Day #06...
UAB Medicine - 38 reviews - Birmingham, AL
$57,970 - $92,206 a year
To review case criteria to determine medical necessity for admission and continued stay. Currently licensed or eligible to be licensed as a Registered Nurse (RN...