HMS Holdings - Remote

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: $54,000 - $75,000 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.

4d

Sprout Health Group - Eatontown, NJ

Completion of a Master's, Post-Master's or Doctorate from a Nurse Practitioner program accredited by the Commission on the Collegiate of Nursing Education (CCNE...

Estimated: $98,000 - $140,000 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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Care1st Health Plan - Monterey Park, CA

Hedis Nurse SupervisorLocation:. The Supervisor will assist QI HEDIS Nurse Reviewers with medical records abstractions as needed.*. # of Openings:....

Estimated: $67,000 - $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.

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Sprout Health Group - Eatontown, NJ

Completion of a Master's, Post-Master's or Doctorate from a Nurse Practitioner program accredited by the Commission on the Collegiate of Nursing Education (CCNE...

Estimated: $94,000 - $130,000 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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Medical Mutual of Ohio - Toledo, OH

Licensed State of Ohio Registered Nurse. Registered Nurse with 3 years recent nursing experience. Refers cases that are complex or outside the established...

Estimated: $63,000 - $86,000 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.

13d

Medical Mutual of Ohio - Cleveland, OH

Registered Nurse with 3 years recent nursing experience with State of Ohio license. Competitive pay and sign on bonus*....

Estimated: $54,000 - $68,000 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.

13d

HMS Holdings - Miramar, FL

Registered Nurse (RN). The *Medical Review Nurse*. Registered Nurse with current license is required. This position will require working out of the *Miramar, FL...

Estimated: $50,000 - $69,000 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.

Banner Health - Phoenix, AZ

Requires Registered Nurse (R.N.). Works with authorized payors or reviewers to resolve denial management issues, reconsiderations and appeals. Work from home!!!...

Estimated: $59,000 - $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.

HMS - Ohio

Interacts with physician reviewers. Provides supporting reference documentation to the reviewer. The Nurse Reviewer is responsible for performing clinical...

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.

11d

HMS Holdings - Remote

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: $52,000 - $70,000 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.

7d

New Directions Behavioral Health - Remote

Monitor time standards and assist retrospective reviewers with adherence to time-frames. Has a current, unrestricted license issued by a state or territory of...

Estimated: $75,000 - $95,000 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.

10d

Blue Cross Blue Shield of Massachusetts - Quincy, MA

Registered Nurse (RN) with active Massachusetts license to practice. The Clinical Reviewer focuses on authorizing medically appropriate services at the right...

Estimated: $50,000 - $66,000 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.

6d

McBee Associates, Inc. - Remote

OASIS REVIEW NURSE*. We are looking for talented reviewers to join our team of nurses and therapists from across the United States....

Estimated: $42,000 - $57,000 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.

OLSA Resources, Inc - Vineland, NJ

The World's Leading Healthcare Company is looking for a Nurse Reviewer to join their team! Interacts with physician reviewers....

$34 an hour13d

Medica - Minnetonka, MN

The Clinical Utilization Management (UM) Nurse Reviewer works within the framework of Medica’s multiple products to establish collaborative processes that...

Estimated: $48,000 - $69,000 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.

Provider Resources Inc - United States

Must be a Registered Nurse (RN) with an active license in state of residence. Reporting to the Medical Review Manager, the Medical Reviewer will provide...

Estimated: $58,000 - $73,000 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.

12d

Medical Mutual of Ohio - Cleveland, OH

Registered Nurse with 3 years recent nursing experience preferred. Performs utilization management activities to ensure the provision of safe, timely,...

Estimated: $60,000 - $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.

13d

Tufts Health Plan - Watertown, MA

The Clinical Reviewer is a licensed professional -- either a Registered Nurse or Physical Therapist -- that is expected to function independently in her / his...

Estimated: $61,000 - $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.

2d

Michigan Peer Review Organization - Farmington Hills, MI

Current Michigan license as a Registered Nurse required. MPRO has a Part Time opening (~20 hours/week) for a Registered Nurse in the PACER division (prior...

Estimated: $51,000 - $70,000 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.

Tandigm Health LLC - West Conshohocken, PA

CLINICAL CHART REVIEWER - RN. The ACE Chart Reviewer is a licensed Registered Nurse, Nurse Practitioner or Certified Physician Assistant (PA-C) in the state of...

Estimated: $57,000 - $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.

McBee - Remote

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

Estimated: $56,000 - $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. - Indianapolis, IN

Mentors and coaches new employees in the nurse review process. The Nurse Reviewer II is responsible for collaborating with healthcare providers, and members to...

Estimated: $52,000 - $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.

St. Luke's University Health Network - Stroudsburg, PA

The reviewer will assist with other special projects as needed. The Bariatric Surgical Clinical Reviewer is a Registered Nurse and is responsible for collecting...

Estimated: $47,000 - $66,000 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.

Atlanta Cancer Care - Sandy Springs, GA

Compile and update prior auth requirement lists for all insurance plans including sending the updated forms to nurses (as plans update)....

Estimated: $52,000 - $75,000 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.

Sponsored6d

HealthSmart Care Management Solutions - Irving, TX

Registered Nurse (RN). Integrates community resources to implementation of plan where possible- Actively involved in internal department procedures and internal...

Estimated: $63,000 - $87,000 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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Lake Pines Hospital - Kenner, LA

Licensed Practical Nurse*. Attends patient care conferences, meets with performance improvement reviewer weekly and communicates regularly with the registered...

Estimated: $41,000 - $52,000 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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