NL PROFESSIONAL SVC - Memphis, TN 

HEDIS Nurse Job Summary:. The HEDIS Nurse is responsible for complete and accurate medical record review of charts collected from provider offices and the...

$50 - $60 an hour

The Execu|Search Group - Stamford, CT 3.7

Screening candidates through onsite visits, medical record review, telephone evaluations, physical assessments, and collaboration with the Multidisciplinary...

Estimated: $74,000 - $110,000 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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Peritech Home Health - DuBois, PA 

Registered Nurse (RN) (Required). Participates in care review conferences with Pediatric Clinical Manager. Responsible for 90-day and annual evaluation onsite...

Estimated: $60,000 - $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.

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Bridgeway Health Solutions - Tempe, AZ 3.3

Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Estimated: $54,000 - $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.

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Next Level Professional - Baton Rouge, LA 

We are looking for RN and LPN nurses to conduct HEDIS reviews. HEDIS Nurse Job Summary:. The HEDIS Nurse is responsible for complete and accurate medical record...

$75,000 - $85,000 a year

Harvard Pilgrim Health Care - Wellesley, MA 4.2

Registered nurse, BSN required or appropriate experience and/or education. Harvard Pilgrim Health Care is currently seeking highly motivated individuals to join...

Estimated: $52,000 - $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.

BlueCross BlueShield of South Carolina - Columbia, SC 3.8

Position is located onsite in Augusta, GA. Oversees the accurate processing of claims that have been deferred for medical necessity review....

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

Mercy Health - Oregon, OH +1 location3.7

Reviews medical record every 24-48 hours as appropriate. Performs admission reviews for specific patient populations using clinical documentation guidelines....

Estimated: $55,000 - $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.

UWorld - Dallas, TX 3.3

The Medical-Surgical Nurse Reviewer will utilize his or her experience with the NCLEX to review questions and rationales for our web-based NCLEX Qbank....

$40 an hour

Martin Luther King, Jr. Community Hospital - Los Angeles, CA 3.4

The licensed vocational nurse renders professional nursing care to patients at the Ambulatory Clinic. Documents relevant material in medical record and forwards...

Estimated: $43,000 - $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.

UnitedHealth Group - Waltham, MA +4 locations3.6

As the Onsite Utilization Management Review Nurse, you will review member charts at assigned facilities and ensure the correct level of care is provided....

Next Level Professional - Philadelphia, PA 

We are looking for RN and LPN nurses to conduct HEDIS reviews. HEDIS Nurse Job Summary:. The HEDIS Nurse is responsible for complete and accurate medical record...

$70,000 - $90,000 a year

UWorld - Dallas, TX 3.3

The Mental Health Nurse Reviewer will utilize his or her experience with the NCLEX to review questions and rationales for our web-based NCLEX Qbank....

$40 an hour

UWorld - Dallas, TX 3.3

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

$40 an hour

Anthem, Inc. - Louisville, KY 3.8

Nurse Medical Mgt. This position is located onsite in Louisville, KY. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating...

Estimated: $67,000 - $84,000 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.

Health & Human Services Comm - Houston, TX +2 locations3.5

Analyzes, compiles and reviews complex, technical information derived from clinical record reviews, facility management and business record reviews, patient,...

$4,600 - $7,500 a month

eviCore healthcare - Melbourne, FL 3.2

Nurse, Registered Nurse, Florida, Registered Nurse, RN, Nursing Job. Reviews clinical information submitted by providers to appropriate criteria and standards...

Estimated: $51,000 - $67,000 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.

Los Angeles County Human Resources - Los Angeles County, CA 4.2

Monitors the concurrent review done by hospital onsite nurse case managers. Onsite employee-paid Montessori childcare center is available....

Estimated: $140,000 - $180,000 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.

Accolade, Inc. - Plymouth Meeting, PA 

Ability to commute daily onsite to our Plymouth Meeting, PA location. Minimum of 5 years as an active Registered Nurse (RN) with a current unrestricted license....

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.

DaVita Medical Group - Everett, WA 3.3

A Washington State Registered Nurse license, and BLS certification. Responsible for managing clinical utilization review for delegated health plans....

Estimated: $67,000 - $91,000 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.

University of Massachusetts Medical School - North Quincy, MA 4.2

The Clinical Nurse Reviewer will conduct case reviews, record reviews, and medical necessity determinations and will support Board of Hearing appeals as needed....

Estimated: $58,000 - $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.

Harvard Pilgrim Health Care - Quincy, MA 4.2

Registered nurse, BSN preferred or appropriate experience and/or education. Harvard Pilgrim Health Care is currently seeking highly motivated individuals to...

Estimated: $59,000 - $82,000 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. - Syracuse, NY 3.8

The Clinical Review Nurse position will be responsible for reviewing and making medical determinations as to whether a claim meets the benefits the member...

Susquehanna Valley Nursing and Rehab Center - Columbia, PA 

Registered Nurse (RN). Participate in peer reviews as needed:. Quality Improvement/Quality Assurance activities, infection control activities, investigations or...

$42 an hourSponsored

Brightwood College - Vista, CA 3.6

(A) Registered Nurse:. (B) Licensed Vocational Nurse:. Have a minimum of two years’ experience as a registered nurse or licensed vocational nurse within the...

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.

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Sunshine State Health Plan - Sunrise, FL 3.3

Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

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.

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