Showing 1-20 of 3,548
Showing 1-20 of 3,548

Claim Review Nurse jobs

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Amber Pharmacy-Omaha, NEEst. salary: $58,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Full, current and unrestricted license as either a Licensed Practical Nurse or Registered Nurse. 5.Enters authorizations into appropriate system to ensure...

Wexford Health Sources, Inc.-New Castle, INEst. salary: $55,000 - $73,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Full Time Registered Nurse. Annual review with performance increase. Currently licensed as a Registered Nurse in the state of Indiana....

Methodist Le Bonheur Healthcare-Germantown, TNEst. salary: $39,000 - $53,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Registered Nurse licensed in state of practice; Completes insurance information for accurate and timely filing of claim....

Adventist Health Southern California-Glendale, CAEst. salary: $61,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Performs retrospective, post discharge, and post serviced medical necessity review to determine appellate potential of clinical disputes/denial or those...

L.A. Care Health Plan-Los Angeles, CAEst. salary: $56,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent post-service and retrospective claims medical review....

Amerisataff an Americare Medical Company-Troy, MIEst. salary: $47,000 - $60,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

75% Office Nurse, 25% Field Nurse. Current license by the State of Michigan as a Registered Nurse required. Most of our cases are auto claims or workman comp,...

NJM Insurance Group-West Trenton, NJEst. salary: $63,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Precertification, concurrent review, retrospective review and case management intervention. Relevant Registered Nurse:....

Excel Managed Care & Disability Services, Inc.-CaliforniaEst. salary: $62,000 - $90,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Nurse Case Manager RN Registered NurseHours:. Active California Registered Nurse, RN License (BSN preferred)....

NCI Information Systems, Inc.-Detroit, MIEst. salary: $41,000 - $53,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Reviews information contained in Standard Claims Processing System files (e.g., claims history, provider files) to determine provider billing patterns and to...

Wexford Health Sources, Inc.-Pendleton, INEst. salary: $61,000 - $82,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Annual review with performance increase. Receives and reviews daily outpatient and infirmary reports. Reviews all mediation errors, investigates, reconciles and...

Veterans Affairs, Veterans Health Administration-Richmond, VASalary: $58,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Participates in peer review activities. VA Handbook 5005, Part II, Appendix G 6 Nurse Qualification Standard. Applying online will allow you to review and track...

Consolidated Health Plans.-Springfield, MAEst. salary: $87,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

5 or more years of UM Experience in Managed Care as UM nurse, case manager, concurrent review nurse or utilization review nurse;...

Wexford Health Sources, Inc.-Saint Marys, WVEst. salary: $52,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Annual review with performance increase. Wexford Health has an exceptional opportunity for a Registered Nurse to join our team of healthcare professionals at St...

Wexford Health Sources, Inc.-Michigan City, INEst. salary: $43,000 - $55,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Annual review with performance increase. This posting is for a Full Time Licensed Practical Nurse at Indiana State Prison in Michigan City, IN....

Healthcare Scouts-Richmond, VASalary: $35 an hour

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

As Registered Nurse / Utilization Review Nurse, you will work with the claims team to ensure effective and efficient processes are implemented....

Anthem, Inc.-Albany, NYEst. salary: $58,000 - $81,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Review of claim edits, pre-noted inpatient admissions or, episodic outpatient therapy such as physical therapy that is not associated with a continuum of care,...

Accountable Health Care-Signal Hill, CAEst. salary: $56,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Utilization review experience. Ensures utilization review completed properly; Experience in telephonic concurrent review process....

Novitas Solutions, Inc.-Pittsburgh, PAEst. salary: $57,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Retrospective utilization review. The Clinical Review Nurse is responsible for reviewing and making medical determinations as to the validity of health claims...

Alameda Alliance for Health-Alameda, CAEst. salary: $56,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Active California Registered Nurse License required. Perform timely concurrent review of inpatient admission to ensure it meets medical necessity guidelines....

Visiting Nurse Association of Central New York Inc-Rochester, NYEst. salary: $48,000 - $64,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The Utilization Review Coordinator assists the utilization review process taking on. Reviews appeals and provides notice of determination....


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