Showing 1-20 of 154
Showing 1-20 of 154

Nurse Reviewer jobs

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Job PostingCompanyLocationSalaryDescriptionOthers

MAXIMUS

-Pittsford, NY

Est.: $42,000 - $62,000 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 degree with active license. MUST HAVE MINIMUM OF 90 DAYS WITH MAXIMUS AS A TEMPORARY or CONTRACTOR WORKER....

15 hours ago

US CareNet

-Augusta, GA

Est.: $47,000 - $63,000 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.

Two (2) years of home health or Medicare reviewer experience preferred. The Clinical Services Review Nurse is a qualified professional who performs ongoing...

2 days ago

HealthHelp

-United States

Est.: $30,000 - $42,000 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 closely with Radiology Reviewers to determine appropriateness. Performs clinical intake and certifies cases according to policies and procedures of HHI....

5 days ago

Georgia Medical Care Foundation, Inc.

-Atlanta, GA

Est.: $51,000 - $69,000 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.

And clearly and concisely documents the rationale for all nurse reviewer decisions in accordance with applicable time frame requirements of the contract....

6 days ago

Sutter Health

-Burlingame, CA

Est.: $54,000 - $76,000 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 - State Licensure - RN. The Clinical Nurse Reviewer is responsible for verification and documentation of clinical data and adverse outcomes and...

6 days ago

Denver Health

-Denver, CO

$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.

Reviewer will need to maintain competency demonstrated in test throughout the project. Reviewer must pass a medical record abstraction test prior to beginning...

17 hours ago

AllOne Health Group, Inc.

-Woburn, MA

Est.: $34,000 - $46,000 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.

Licensed Practical Nurse. We are currently seeking a nurse reviewer for our National Occupational Health program....

19 hours ago

Ameri Health Caritas and Affiliates

-Philadelphia, PA

$46 - $48 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.

Registered Nurse Registered Nurse graduated from an accredited program. PA Registered Nurse license. Current unrestricted PA Practical Nurse license or PA...

1 day ago

Keystone Peer Review

-Scarborough, ME

Est.: $45,000 - $59,000 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.

RN Clinical Reviewer - Contract Position. Performs determinations to adults with chronic illness or disability and who are either Medicaid recipients or are...

20 hours ago

Harvard Pilgrim Health Care

-Wellesley, MA

Est.: $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.

Registered Nurse, BSN required, can be waived with appropriate experience and or education. Acts as informed resource on policies, benefits and as clinical...

5 days ago

Ochsner Health System

-New Orleans, LA

Est.: $44,000 - $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.

Job Exempt Yes General Job Summary This job assumes responsibility for managing all facets of the Society for Thoracic Surgeons (STS) database which is a...

1 day ago

MES Solutions

-Boca Raton, FL

Est.: $37,000 - $50,000 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.

Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists....

1 day ago

URAC

-Washington, DC

Est.: $61,000 - $84,000 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.

Clinical Accreditation Reviewer. The Accreditation Reviewer is an expert in the content and interpretation of accreditation programs and standards....

17 hours ago

Ohio Department of Medicaid

-Columbus, OH

$56,000 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 (RN). Current & valid license as Registered Nurse (RN) as issued by Ohio Board of Nursing, pursuant to Sections 4723.03 & 4723.09 of Ohio...

19 hours ago

Fountain Valley Regional Hospital and Medical Center

-Fountain Valley, CA

Sorts, rooms and distributes work load to the UM reviewers. Fills out referral sheets weekly for UM nurse and copies H&P and consults weekly for CCS patients...

5 days ago

Anthem, Inc.

-Norfolk, VA

Est.: $63,000 - $84,000 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 Medical Management I. Nurse Medical Management I-Virginia Beach, VA or Nashville, TN. Consult with clinical reviewers and/or medical directors to ensure...

2 days ago

Alliant Health Solutions

-Atlanta, GA

Est.: $55,000 - $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.

Registered Nurse (RN). And clearly and concisely documents the rationale for all nurse reviewer decisions in accordance with applicable time frame requirements...

6 days ago

Anthem, Inc.

-Virginia Beach, VA

Est.: $55,000 - $80,000 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 Medical Management I. Nurse Medical Management I-Virginia Beach, VA or Nashville, TN. Consult with clinical reviewers and/or medical directors to ensure...

4 days ago

Geriatric Resource Consultants

-Brooklyn, NY

Est.: $55,000 - $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.

Registered Nurse (RN). Registered Nurse for UAS Assessments*. Seeking per case Registered Nurse for field assessment position in the 5 Boroughs....

2 days ago

Anthem, Inc.

-Thousand Oaks, CA

Est.: $68,000 - $91,000 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 Medical Management I/II/Sr. Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care...

1 day ago

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