Top 202 Rn Nurse Reviewer Jobs

RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR
UnitedHealth Group —San Juan, PR
- Full-time
- RN License
- Pass drug screening
- Research
Vocational Rehab RN or CRC
Surety HR —Westlake, OH
- $70,000 a year
- Full-time
- Hybrid work
- RN License
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
OASIS Workflow Coordinator Weekend - HomeCare
Hartford HealthCare at Home —Mansfield Center, CT
- Part-time
- Nursing
- RN License
- Writing skills
Quick Apply
Registered Nurse (RN) – Clinical Attestation Reviewer (Contractor)
Intelvio —Lynnwood, WA
- $50 an hour
- Contract
- Background check
- Blood sampling
- RN License
- Flexible schedule
Quick Apply
RN Clinical Reviewer
Greenlife Healthcare Staffing —Albany, NY
- $60 an hour
- Full-time
- Background check
- Nursing
- Microsoft Excel
- Paid sick time
Quick Apply
6d
Nurse Itemized Bill Reviewer (IBR Analyst)
Machinify —California City, CA
- $80,000 - $90,000 a year
- Remote
- Microsoft Excel
- LVN
- RN License
- Health savings account
- Health insurance
RN - Registered Nurse - Clinical Documentation Improvement Educator
Geisinger —Remote
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Nurse Reviewer
Staffing Solutions Organization LLC —Remote
- $73,000 - $81,000 a year
- Full-time
- Remote
- Experience working with individuals with developmental disabilities
- Nursing
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
Utilization Review Nurse
Cobalt Benefits Group LLC —Dallas, TX
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
Complex Medical Bill Reviewer
Enlyte —Remote
- $53,500 - $70,000 a year
- Full-time
- Remote
- Surgery
- LVN
- RN License
- Health savings account
- AD&D insurance
Remote Home Health RN – Medical Claims Reviewer
Broadway Ventures —Remote
- $60,000 - $63,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Customer service
Quick Apply
Senior Nurse Reviewer
Mass General Brigham Incorporated —Somerville, MA
- $79,560.00 - $115,720.80 a year
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
- Opportunities for advancement
Quick Apply
Team Lead, RN Quality Assurance
Thyme Care —Remote
- $105,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
Quick Apply
Clinical Quality Reviewer - REMOTE - RN - US Citizen Required
TEEMA —Phoenix, AZ
- $41 - $44 an hour
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
Quick Apply
5d
Second Level Reviewer I PRN Remote
AdventHealth Corporate —Altamonte Springs, FL
- $31.82 - $59.17 an hour
- PRN
- Remote
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
Clinical Quality Reviewer RN – Remote
TEEMA GROUP —Flagstaff, AZ
- $85,000 - $92,000 a year
- Email
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
6d
Nurse Reviewer (Registered Nurse) - Remote in US
Gainwell Technologies —Alabama
- $78,000 - $88,000 a year
- Extended hours
- Remote
- Background check
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
Clinical Quality Reviewer - REMOTE - LCSW OR RN - US Citizen Required
TEEMA —Phoenix, AZ
- $41 - $44 an hour
- Full-time
- Remote
- Nursing
- Surgery
- RN License
Quick Apply
5d
DRG Nurse Reviewer Appeals and Hearings- Remote
Gainwell Technologies —Florida
- $95,000 - $110,000 a year
- Full-time
- Remote
- RN License
- Presentation skills
- Travel
- Health insurance
- Tuition reimbursement
Clinical Documentation Review RN
Fallon Health —Worcester, MA
- $110,000 - $115,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License

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RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR

UnitedHealth Group -
San Juan, PR

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Job Details

Full-time

Qualifications

Foreign language proficiency
RN License
Productivity software

Full Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Positions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment.

Primary Responsibilities:

Clinical Case Reviews -75%
- Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported
- Maintain standards for productivity and accuracy. Standards are defined by the department
- Provide clear and concise clinical logic to the providers when necessary
- Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization
- Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
- Investigate and pursue recoveries
- Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
- Use pertinent data and facts to identify and solve a range of problems within area of expertise
- Other internal customer correspondence and team needs - 15%
- Attend and provide feedback during monthly meetings with assigned internal customer department
- Provide continuous feedback on how to improve the department relationships with internal team members and departments
Continuing education - 10%
- Keep up required Coding Certificate and/or Nursing Licensure
- Complete compliance hours as required by the department

***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Coding Certificate or Nursing Licensure, for example:
Puerto Rico Registered Nurse
Certified Professional Coder (CPC) + CPC A
Certified Inpatient Coder (CIC)
Certified Outpatient Auditor (COC)
Certified Professional Medical Auditor (CPMA)
Certified Coding Specialist (CCS)
Demonstrated proficiency with computers, including Microsoft Suite of products
Ability to observe an on-site work model
Willing or able to work from Monday to Friday, 40 hours per week during our business operating hours of 8am - 7pm ATL
Professional proficiency in both English and Spanish (Please note that an English proficiency assessment will be required for this position)

Preferred Qualifications:

Experience working with medical claims platforms
Medical record coding experience with experience in Evaluation and Management Services in the outpatient/office setting
Presentation or policy documentation experience
Proven knowledge of CMS and AMA coding rules specific to CPT, HCPCS
Proven knowledge of CMS Coverage, Federal and State Statues, Rules and Regulations
Proven knowledge of Medicaid/Medicare Reimbursement methodologies
Proven working knowledge of the healthcare insurance/managed care industry
Proven working knowledge of medical terminology and claim coding

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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Rn Nurse Reviewer jobs

RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR

Vocational Rehab RN or CRC

OASIS Workflow Coordinator Weekend - HomeCare

Registered Nurse (RN) – Clinical Attestation Reviewer (Contractor)

RN Clinical Reviewer

Nurse Itemized Bill Reviewer (IBR Analyst)

RN - Registered Nurse - Clinical Documentation Improvement Educator

Nurse Reviewer

Utilization Review Nurse

Complex Medical Bill Reviewer

Remote Home Health RN – Medical Claims Reviewer

Senior Nurse Reviewer

Team Lead, RN Quality Assurance

Clinical Quality Reviewer - REMOTE - RN - US Citizen Required

Second Level Reviewer I PRN Remote

Clinical Quality Reviewer RN – Remote

Nurse Reviewer (Registered Nurse) - Remote in US

Clinical Quality Reviewer - REMOTE - LCSW OR RN - US Citizen Required

DRG Nurse Reviewer Appeals and Hearings- Remote

Clinical Documentation Review RN

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