McBee - Remote

We are looking for talented reviewers to join our team of nurses and therapists from across the United States. Part Time OASIS Chart Review Nurse....

Estimated: $57,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Anthem, Inc. - Eagan, MN3.8

Participation in the American Association of Managed Care Nurses preferred. RN - Nurse Medical Management I/II/Sr (Job Family) Outpatient Utilization Management...

Estimated: $75,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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Anthem, Inc. - Eagan, MN3.8

RN - Nurse Medical Management I/II/Sr Inpatient Review - Eagan, Minnesota PS2790. Consult with clinical reviewers and/or medical directors to ensure medically...

Estimated: $63,000 - $88,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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South Miami Hospital - South Miami, FL4.3

BA Bachelors, CITI Collab Inst Training Init, and an active Registered Nurse license required. The Research Data Nurse is responsible for the abstraction,...

Estimated: $46,000 - $65,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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Anthem, Inc. - Glendale, CA3.8

Nurse Reviewer (Recent Grads and Experienced RNs) - AIM Specialty Utilization - Glendale, CA. Nurse Reviewer I and Nurse Reviewer Associateare responsible for...

Estimated: $76,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Medliminal - Manassas, VA

Medliminal is seeking Medical Bill Reviewer to join our Hospital Compliance Division to examine inpatient/outpatient hospital billings for true and accurate...

Estimated: $32,000 - $45,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Mitchell International, Inc. - Richardson, TX3.7

Uses evidence-based, nationally recognized treatment protocols and accesses physician reviewers, as indicated, when certification/approval cannot be recommended...

Estimated: $63,000 - $90,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Humana - Colorado Springs, CO3.7

Active RN license in the state(s) in which the nurse is required to practice. Humana is seeking a Utilization Management Nurse for our Front End Review team who...

Estimated: $57,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

HMS Holdings - Remote3.3

Registered Nurse (RN). Reviews medical information to collect data, ensure appropriate billing of data and follow up on concerns raised by nurse and physician...

Estimated: $53,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Livanta - Las Vegas, NV3.5

Communicates with and supports external physician reviewers. Livanta LLC is a growing Federal Contractor that is hiring qualified Nurses for remote desktop...

Estimated: $67,000 - $90,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

CareCentrix - Tampa, FL

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

Estimated: $42,000 - $59,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

MAXIMUS - Pittsford, NY

Registered Nurse degree with active license. The Nurse Reviewer is responsible for making medical necessity determinations relating to whether an item is...

Estimated: $50,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

U.S. Anesthesia Partners - Houston, TX3.2

Nurse Peer Review representative for nurse peer review committee. Licensed Registered Nurse, Chart Review Experience A +....

Estimated: $66,000 - $94,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Magellan Health - Newtown, PA3.6

Quality Clinical Reviewer - Newtown, PA. LCSW - Licensed Clinical Social Worker - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LPC - Licensed...

Estimated: $57,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

State of Wyoming - Wyoming3.7

Coordinates approval of surgical procedures with claims analysts, nurse case managers, and Health Care Providers....

$5,000 - $6,300 a month

Abington - Abington, PA4

Under the supervision of and reporting to the Trauma Program Manager, the Trauma Program Clinical Nurse Reviewer establishes and maintains efficient operations...

Estimated: $63,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

UWorld - Irving, TX3.3

"PEDIATRIC RN" , "PEDS NURSE", "PEDIATRICS BSN", "NEWBORN NURSE", "NCLEX ITEM WRITER", "NCLEX CONTENT DEVELOPER", "NCLEX TUTOR", "NCLEX PREP", "PRECEPTOR",...

$40 an hour

Brighton Health Plan Solutions / MagnaCare - Remote

Nurse Case Reviewer*. The Nurse Case Reviewer reports to the UR Department Manager for clinical activities....

Estimated: $59,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Anthem, Inc. - United States3.8

Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of care, intervention planning, and general clinical guidance....

Estimated: $110,000 - $150,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Visiting Nurse Association Health Group - New Jersey3.7

Overview VNA Health Group is a premiere Medicare/Medicaid-certified provider of home health, hospice, and community-based services. We’ve been serving...

Estimated: $58,000 - $80,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Neil Hoosier Associates, Inc. - Owings Mills, MD

Registered Nurse (RN). Registered Nurse (RN) with current license or other related field. Evaluate the medical necessity determinations made by the QIC panel...

Estimated: $58,000 - $76,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Change Healthcare - Rochester, NY3.3

Medical Record Field Reviewer Job Description*. Change Healthcare’s Scheduling Team and Field Reviewer Advocates will help plan your daily schedule....

Estimated: $39,000 - $56,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Change Healthcare - Clarksville, KY3.3

Medical Record Field Reviewer Position Description*. We hire RNs, LPNs, Certified Coders, RHIT or RHIA, Medical Assistants, Certified Nursing Assistants and...

Estimated: $41,000 - $53,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Advanced Medical Reviews - Culver City, CA3.7

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

Estimated: $75,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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Greater Lawrence Family Health Center - Methuen, MA3.6

Current Massachusetts Registered Nurse License. GLFHC is seeking a RN, Clinical Care Reviewer to join our team....

Estimated: $74,000 - $97,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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Henrico Doctors Hospital Forest - Richmond, VA3.9

Nurse recruitment - a challenge today - becomes easier when the hospital can demonstrate its commitment to nurses by pointing to an unbiased source....

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