Showing 1-20 of 664
Showing 1-20 of 664
Nurse Reviewer jobs

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Providence Health & Services-Kodiak, AK

Licensed as a Registered Nurse in the State of Alaska by start date. Correlate organizational data on length of stay, avoidable days, denial days, re-admissions...

eviCore healthcare-Melbourne, FL

This Clinical Nurse Reviewer - RN OR LPN is a prime opportunity with a respected and rapidly growing company ....

AllMed Healthcare Management, Inc-Portland, OR

LICENSED PRACTICAL NURSE (LPN). Coordination of documentation sent to reviewers. Must have Licensed Practical Nurse (LPN) certification/license....

Alliant Health Solutions-Atlanta, GA

The primary responsibilities of the Nurse Reviewers are listed below:. The Nurse Reviewers conduct prior approval and precertification reviews for Georgia Fee...

Menorah Medical Center-Overland Park, KS

Registered Nurse – Clinical Reviewer - DRG (Diagnosis Related Group). RN Clinical Reviewer queries the Medical Staff and other caregivers using....

Florida Hospital-Orlando, FL

Utilization Management Nurse – Nursing Department - Maitland. Utilization Management Nurse, Utilization of Services, Case Management, Maitland....

MRIoA-Salt Lake City, UT

Registered Nurse (RN). We are growing and have a need for an additional full-time Registered Nurse to work collaboratively with physicians as a medical review,...

Anthem, Inc.-West Des Moines, IA

Nurse Medical Management I or II - West Des Moines, IA. Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality,...

Blue Cross Blue Shield of IL, MT, NM, OK & TX-Richardson, TX

This position is responsible for performing discharge care coordination and review activities for determining efficiency, effectiveness and quality of medical

TalenTrust LLC-Golden, CO

The Bill Review Nurse (RN/LPN) is responsible for reviewing and analyzing hospital bills. The clinical reviewer is responsible for documenting, researching and...

North Florida Regional Medical Center-Gainesville, FL

With physician, physician extender, nurse, case manager/utilization reviewer. State of Florida Registered Nurse license....

Novitas Solutions, Inc.-Mechanicsburg, PA

Certified Professional Coder/Certified Professional Utilization Reviewer. The Clinical Review Nurse is responsible for reviewing and making medical...

Care Dimensions-Danvers, MA

Professional Registered Nurse, currently licensed in Massachusetts. Maintains regular communication with fiscal staff and third party case managers and...

First Coast Service Options, Inc.-Jacksonville, FL

Certified Professional Coder/Certified Professional Utilization Reviewer. The Clinical Review Nurse is responsible for reviewing and making medical...

Visiting Nurse Association Health Group-Englewood, NJ

Supports organization’s mission by striving for excellence in all aspects of their job with a focus on positive interpersonal relationship with co-workers...

Regal Medical Group-Northridge, CA

The Nurse Reviewer is responsible, along with other members of Medical Management Team, for contributing to the clinical, quality, financial and patient...

HealthCare Support Staffing-Indianapolis, IN

Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...

HealthCare Support Staffing-Indianapolis, IN

Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...


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