Showing 1-10 of 25
Showing 1-10 of 25
Claims review nurse jobs near Tustin, CA

Edwards Lifesciences - Irvine, CA

And reviews all medical reports. Reviews results with employees and EHS; Experience in Occupational Health Nurse or Certified in Occupation Health Nursing....

PRIMARY PROVIDER MANAGEMENT COMPANY, INC. - Corona, CA

Review to the UM nurse or Medical Director for review and determination in an. Refers claims review requests that require professional medical necessity....

Quintiles - United States

Billing and claims systems knowledge for all provider types and places of service (POS). The FRS must have clinical understanding of client products sufficient...

Edwards Lifesciences - Irvine, CA

And reviews all medical reports. Reviews results with employees and EHS; Experience in Occupational Health Nurse or Certified in Occupation Health Nursing....

CMC - Whittier, CA

The Nurse Case Manager organizes medical management programs such as medical policy development, appeals and medical claim audits....

Genesis HealthCare - Santa Ana, CA

Reviews and revises service plan as indicated; Complies with applicable legal requirements, standards, policies and procedures including but not limited to...

Quintiles - United States

Billing and claims systems knowledge for all provider types and places of service (POS). The FRM must have clinical understanding of client products sufficient...

Molina Healthcare - Long Beach, CA

Works with Nurse Case Managers when assigned to claims. Examines each claim for compensability and Company liability, and processing claims to completion....

Broadspire - Brea, CA

Uses disability claims system for timely and accurate claims review, and effective communication of rationale for claims action....


Your Recent Searches