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Nurse Medical Mgmt I/II/Sr - Richmond, VA (Office-based) - 1...
Anthem, Inc. - 2,053 reviews - Richmond, VA 23218
Current unrestricted RN license in applicable state(s) required. Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high...
UTILIZATION REVIEW NURSE I
Identifies cases for possible peer reviewers to evaluate the appropriateness and necessity of care and or quality of care concerns. Who We Are....
Clinical Surgical Nurse Reviewer (Department of Surgery, 40...
Participates in weekly teleconferences with other surgical clinical nurse reviewers. Demonstrates applicability of the methodology and the reliability of...

Physician Review Registered Nurse

Auto Injury Solutions - 24 reviews - Iselin, NJ
Generate templates in system for MD, DO and Chiropractic reviewers. The Physician Review Registered Nurse reviews bills that are in excess of guidelines and...
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Prior Authorization Reviewer - Registered Nurse (RN)

Ohio Department of Medicaid - 10 reviews - Columbus, OH
$54,413 a year
As a Prior Authorization Reviewer, you will draw on your experience as a RN to review for approval electronic prior authorization requests....
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Appeals Nurse Reviewer

Medix - 65 reviews - Oak Brook, IL
We are hiring for an Appeals Nurse Reviewer with an elite hospital system. The Appeals Nurse Reviewer will be writing appeals to overturn any denials needed and...

Nurse Reviewer

Procuretechstaff - Westerville, OH
$30 an hour
Interacts with physician reviewers. Unrestricted RN license required Minimum Education:. Assigns case reviews by identifying the issues for review and the...
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Nurse Reviewer Specialty (Utilization Review/Oncology) - AIM...

Anthem, Inc. - 2,053 reviews - Westchester, IL  +2 locations
Nurse Reviewer I position:. Nurse Reviewer I or Nurse Reviewer Associate This position may be filled at either the Nurse Reviewer I or Nurse Reviewer Associate...

Nurse Medical Mgmt I

Anthem, Inc. - 2,053 reviews - Baton Rouge, LA  +4 locations
Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...

Mental Health Registered Nurse (Registered Nurse Reviewer)

Oregon State Hospital - 40 reviews - Salem, OR
$32.45 - $42.87 an hour
The Oregon State Hospital is taking applications for six (6) Limited Duration (not to exceed 17 months) and (6) temporary (Not to exceed 1039 hours) Mental...
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RN Nurse Medical Mgmt I or II (Job Family) - Telecommute - 1...

Anthem, Inc. - 2,053 reviews - Norfolk, VA
2 years clinical RN experience. Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care...

Clinical Review Nurse

EHE - New York, NY
, the leader in preventive healthcare since 1913, has an immediate opening for a full -time *Clinical Reviewer - Registered Nurse*....
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Clinical Review Nurse Home Health Care

US CareNet - Augusta, GA
Home health care/Medicare Reviewer:. Two (2) years of home health or Medicare reviewer experience preferred. Job Description Summary:....
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Registered Nurse - Clinical Reviewer - DRG
Menorah Medical Center - 36 reviews - Overland Park, KS
RN Clinical Reviewer queries the Medical Staff and other caregivers using. The RN Clinical. Registered Nurse – Clinical Reviewer - DRG (Diagnosis Related Group)...
Surgical Case Nurse Reviewer
Chenega Corporation - 258 reviews - Elmendorf AFB, AK
Surgical Case Nurse Reviewer (SCNR). Reviewers within the program through Inter-Rater Reliability (IRR) testing. The....

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