Showing 1-20 of 665
Showing 1-20 of 665
Nurse Reviewer jobs

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eviCore healthcare-Melbourne, FL

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

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...

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...

UWorld-Irving, TX

"Peds Nurse", "Pediatrics Nurse", "Peds BSN", "Pediatric RN" ,"NCLEX Reviewer", "NCLEX Author", "CNE", "NCSBN". NCLEX™ Qbank Reviewer - Pediatrics....

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....

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,...

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

Florida Hospital-Orlando, FL

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

Anthem, Inc.-Atlanta, GA

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

Novitas Solutions, Inc.-Mechanicsburg, PA

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

CareCentrix-Tampa, FL

The core function is to review utilization information concerning patient care for CareCentrix, and to match those needs to available care options, within the

PORTER ADVENTIST HOSPITAL-Denver, CO

Applies medically necessary validation and may enlist physician advisor and/or Third Party Reviewer.*. Identifies when variances occur in anticipated plan of...

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...

Beacon Review-Boston, MA

JOB TITLE: Risk Adjustment Chart Reviewer TYPE: Full-Time or Part-time LOCATION: Boston, MA DATE POSTED: 4/20/2017 Beacon Review, a growing...

Care Dimensions-Danvers, MA

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

North Florida Regional Medical Center-Gainesville, FL

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

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...

VNAHealthtrends-Des Plaines, IL

Collaborate with nurse reviewers, quality assurance coordinator, etc. to ensure compliance with documentation standards....


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