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CAREERBUILDER APPLY

Full-Time

Prior Authorization Nurse / Concurrent Review Nurse Looking for full-time nurses of all backgrounds to staff a brand new department with a major insurance company. Job Description: Promote the quality and cost effectiveness of medical care by applying cli...

Detroit, MI

CAREERBUILDER APPLY

Full-Time

To provide clinical expertise in the application of medical and reimbursement policies within the claim adjudication process through claim review, medical record review and research. To provide expert knowledge in CMS, NCCI, AMA and other nationally publi...

Confidential

Spokane, WA

CAREERBUILDER APPLY

Full-Time

Registered Nurse (RN) / Telephonic Case Manager Telephonic Case Managers are responsible for assessing, planning, implementing and coordinating all case management activities associated with the member. Evaluating the medical and social needs of an patien...

A-Line Staffing Solutions.

Detroit, MI

Part-Time | Pay: $11.00 - $11.50/hour

The purpose of an Emergency Department Records Coordinator (EDRC) is to act asa coordinator for the timely and effective acquisition, detailed review,and reconciliation and processing of patient records necessary to produce aclaim form or billing state...

Savannah, TN

CAREERBUILDER APPLY

Full-Time

This is not a remote position; our office is located in Carrollton, TX. Job Summary: The Nurse Reviewer is responsible for conducting concurrent and retrospective chart review for clinical, financial and resource utilization information. To capture the cl...

Cantex Continuing Care Network

Carrollton, TX

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CAREERBUILDER APPLY

Full-Time | Pay: $33.00 - $34.00/hour

Are you an experienced RN Medical Claims Review Nurse looking for a new opportunity with a prestigious healthcare company as a RN Medical Claims Review Nurse? Do you want the chance to advance your career by joining a rapidly growing company? If you answe...

Spokane, WA

CAREERBUILDER APPLY
3w
3 weeks ago

Full-Time | Pay: $63k/year

Community Based Mental Health Registered Nurse Are you an experienced Registered Nurse looking to impact your surroundingcommunity? Then we have a great opportunity for you with a growing BehavioralHealth company. Salary: $63K, Plus a $2K SIGN-ON BONUS!...

Baltimore, MD

Full-Time/Part-Time

LICENSED PRACTICAL NURSE (LPN) Job Description Carry out direct care to residents based on the care plan, nursing procedures, facility policy and nursing standards of practice. Observes the resident for change in physical, social or mental status and docu...

Bronx, NY

CAREERBUILDER APPLY

Full-Time

Registered Nurse Compliance Auditor Looking for a registered nurse with extensive auditing experience to work as a corporate auditor for a fortune 200 company. Job Duties: Work as a corporate auditor, auditing Health Plans throughout the United States. Au...

Clayton, MO

CAREERBUILDER APPLY

Full-Time | Pay: $85k - $95k/year

Registered Nurse (RN) - Compliance Specialist A very well-known and reputable healthcare system in the Delaware County area is seeking a Full-time RN Compliance Specialist for their Home Health Division. Job Description: Conducts regular monitoring and au...

Lansdowne, PA

CAREERBUILDER APPLY
1w
1 week ago

Full-Time

Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan (with more than 1.26million members) in the Inland Empire. We are also one of the largest employers in the region. As the healthcare landscape is transformed,...

Rancho Cucamonga, CA

Full-Time | Pay: $33.00 - $34.00/hour

An insurance company in downtown Spokane is looking for a qualified nurse for a non-patient interfacing role. Managers are looking for candidates with clinical experience from a hospital (Preferred) Job Summary: To provide clinical expertise in the applic...

Spokane, WA

CAREERBUILDER APPLY

Full-Time

Correctional Care | Committed Careers | Corizon Health Corizon Health has an exceptional opportunity for a Utilization Management Nurse Review Specialist to join our Healthcare Support Team in St. Louis, Missouri. Qualificatons of the Corizon Health Utili...

Brentwood, TN

Full-Time

CPR required RN Required 1 year of experience required The Appeals and Medical Review Nurse works closely with the clinical, financial departments and physicians to minimize the impact of denials through preparing and overseeing the appeals efforts in the...

Longview, TX

CAREERBUILDER APPLY

Full-Time

Licensed Practical Nurse / LPN Accountable to: RN Supervisor / DON Department: Nursing Purpose of Your Job Position: The primary purpose of your job position is to participate in the nursing plan and in implementing the nursing plan of care on the assigne...

711 Susan Tart Road
Dunn, NC

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CAREERBUILDER APPLY

Full-Time | Pay: $70k - $77k/year

Utilization Review Nurse (RN, BSN) - Hospital Buffalo, NY Job Summary: The Utilization Review Nurse is responsible for utilization management, utilization review, or concurrent/retrospective review of the patient’s care. The UR Nurse ensures appropriate l...

Buffalo, NY

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Full-Time

CCM – Personal Registered Nurse – RN – Case Manager – Work At Home Attention RegisteredNurses! Would you enjoy an opportunity to Work at Home? Humana wants YOU tojoin our growing team of Personal Registered Nurses. We have multiple openings for Personal...

Humana

WORK FROM HOME!

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CAREERBUILDER APPLY

Full-Time

This position provides safe and effective nursing care and treatment to patients in the Obstetrics Unit. The employee is part of a managed care team and works collaboratively with ancillary personnel in the provision of appropriate medical services and tr...

Belle Glade, FL

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CAREERBUILDER APPLY

Full-Time | Pay: $24.00 - $30.00/hour

Registered Nurse - 5K Sign-On Bonus for Qualified Applicants Full-Time Mon-Sat Rotational Schedule Description Lend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and...

Fresenius Kidney Care

Opelika, AL

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CAREERBUILDER APPLY

Full-Time | Pay: $62k - $80k/year

Appeals & Grievances Nurse (RN) – Managed Care Phoenix, AZ (Additional related positions available at a local hospital system!) Your Job Summary: The Quality Improvement Appeals & Grievances Nurse performs all aspects of the Quality Management Program, in...

Phoenix, AZ

CAREERBUILDER APPLY

Full-Time/Part-Time

Job Summary: To provide clinical expertise in the application of medical and reimbursement policies within the claim adjudication process through claim review, medical record review and research. To provide expert knowledge in CMS, NCCI, AMA and other nat...

Confidential

Spokane, WA

Full-Time

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best wor...

McAllen, TX

CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

RN HALL NURSE SIGN ON BONUS K3,000 FOR FULLTIME (5) DAYS/EVENINGS PER WEEK. WE PAY FOR EXPERIENCE WE PAY SHIFT & WEEEKEND DIFFERENTIAL BENEFITS/INSURANCE AVAILABLE AT 90 DAYS PURPOSE OF YOUR JOB POSITION: The primary purpose of your job description is to...

Franklin, NC

CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

Registered Nurse/ RN PURPOSE OF YOUR JOB POSITION: The primary purpose of your job description is to assist in the planning, organizing, developing, and directing of Nursing Services in accordance with current applicable federal, state, and local standard...

Snow Hill, NC

CAREERBUILDER APPLY

Full-Time

Rivers Edge Nursing & Rehabilitation Center is a 100 bed health care facility that provides long term care as well as short term rehab. We are located in Prospect, only 10 minutes from downtown Louisville. We currently have employment opportunities for Re...

6301 Bass Road
Louisville, KY

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