Top 237 Rn Nurse Reviewer Jobs

Utilization Management Nurse
Applied Underwriters —Omaha, NE
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Paid training
- Paid holidays
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RN / Medical Reviewer / Remote
InGenesis —Columbia, SC
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
Medical Record Review Nurse (RN)-New York Licensed
National Medical Reviews, Inc. —Remote
- $65,000 - $70,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- Employee assistance program
- Flexible schedule
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Registered Nurse
Qbtech —Remote
- $27 an hour
- Contract
- Remote
- RN License
- Mid-level
- 3 years
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3d
Nurse Reviewer
Staffing Solutions Organization LLC —Remote
- $73,000 - $83,000 a year
- Full-time
- Remote
- Experience working with individuals with developmental disabilities
- Nursing
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
Remote Home Health RN – Medical Claims Reviewer
Broadway Ventures —Remote
- $60,000 - $63,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Customer service
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RN - Registered Nurse - Clinical Documentation Improvement Educator
Geisinger —Remote
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
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
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Clinical Quality Reviewer - REMOTE - LCSW OR RN - US Citizen Required
TEEMA —Phoenix, AZ
- $41 - $44 an hour
- Full-time
- Remote
- Nursing
- Surgery
- RN License
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9d
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
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
Clinical Quality Reviewer - REMOTE - RN - US Citizen Required
TEEMA —Phoenix, AZ
- $41 - $44 an hour
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
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9d
Registered Nurse Clinical Auditor
RADcube —Remote
- Full-time
- Remote
- Microsoft Outlook
- RN License
- Research
Medical Claim Reviewer (CGS, DMEC-B)
Broadway Ventures —Remote
- $31.25 an hour
- Remote
- Nursing
- RN License
- Customer service
Quick Apply
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
Manager, Quality Management - Clinical Review - Remote (PST Work Hours)
Optum —El Segundo, CA
- $91,700 - $163,700 a year
- Full-time
- Nursing
- LVN
- RN License
Quick Apply
Clinical Reviewer, RN/LPN (Remote - TN)
Maximus —Nashville, TN
- $26 - $28 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- RN License
- Paid holidays
- Disability insurance
9d
Utilization Management Registered Nurse (RN) - Remote
Guidehealth —Chicago, IL
- $70,000 - $75,000 a year
- Full-time
- Remote
- Microsoft Word
- Nursing
- Microsoft Excel
- Paid parental leave
- Disability insurance
9d
Nurse - Clinical Review
HealthHelp - A WNS Company —Houston, TX
- $65,000 - $75,000 a year
- Email
- Remote
- Nursing
- Microsoft Excel
- LVN
- Health insurance
- Dental insurance
Quick Apply
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

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Utilization Management Nurse

Applied Underwriters -
Omaha, NE

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Job Details

Full-time

Benefits

Paid training
Paid holidays
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
Gym membership

Qualifications

RN License
Windows
Document viewing software

Full Job Description

Embark on a rewarding career journey at Applied Underwriters, where employees have been at the heart of our success story for more than 30 years. Headquartered in Omaha, NE, our company thrives on innovation and empowers our employees to shape the future of global risk services. Join a team where your ideas are valued and your talents are nurtured with formal, paid training and mentorship. Experience a workplace culture that celebrates initiative, recognizes results, and provides outstanding benefits that allow you to focus on achieving your full potential.

Workers’ compensation utilization management activities include the review of clinical information to determine medical necessity at all levels of care. You will utilize criteria, or evidence-based guidelines, coordinate of care across the continuum, and interact with physicians, providers, claimants and peer reviewers as part of the utilization management process.

Requirements:

Requires a current and unrestricted RN license in the state of Nebraska or that of a compact state, and at least 5 years of clinical experience.
Familiar with utilization review process, case management, and/or discharge planning.
Proficient using Microsoft Windows, including Word, Excel, Outlook, how to search for files, and create PDFs.
Ability to utilize template letters, forms, and creating summaries.

Our Benefits Include:

100% employer-paid medical, dental, and vision insurance for employees
401(k) plan with 100% immediate vesting and a 4% company match
Paid time off (PTO) and paid holidays
On-site pharmacy, Promesa, provides convenient prescription delivery directly to you
Life, disability, critical illness and accident insurance
Employee Assistance Program (EAP)
Pre-tax Flexible Spending Accounts for health, dependent care, and commuter-related expenses
Tuition reimbursement
Fitness reimbursement and various additional quality-of-life benefits

Applied Underwriters is a global risk services firm helping business and people manage uncertainty through its business services, insurance, and reinsurance solutions. As a company, we truly operate differently within our business sector. Applied Underwriters has one of the highest customer retention rates in the industry - a success directly attributed to our employees and their high level of commitment, hard work, and ambition.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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Refine Your Search

Rn Nurse Reviewer jobs

Utilization Management Nurse

RN / Medical Reviewer / Remote

Medical Record Review Nurse (RN)-New York Licensed

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Nurse Reviewer

Remote Home Health RN – Medical Claims Reviewer

RN - Registered Nurse - Clinical Documentation Improvement Educator

Utilization Review Nurse

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

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Clinical Quality Reviewer - REMOTE - RN - US Citizen Required

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Utilization Management Registered Nurse (RN) - Remote

Nurse - Clinical Review

Nurse Itemized Bill Reviewer (IBR Analyst)

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