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CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

KaMMCO,a professional liability insurance carrier seeks a licensed RN to preparechronologies and detailed case analysis of medical records for our Claims Dept.located in Topeka . This FT position is also responsible for conductingmedical research rela...

KaMMCO

623 Southwest 10th Avenue
Topeka, KS

4h
4 hours ago

Full-Time

Overview: We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, you’ll feel our supportive community every step of your day, especially the tough ones. We’re a...

Springfield, MO

CAREERBUILDER APPLY
2d
2 days ago

Full-Time

The Nurse Reviewer is a licensed professional (Registered Nurse) that is expected to function independently in her / his role and is responsible for managing a clinically complex caseload of members across one or more types of outpatient and inpatient (ac...

Providence, RI

2w
2 weeks ago

Full-Time

Appeal Nurse Reviewer Responsibilities Investigate and resolve medical necessity appeals and maintain documentation Collaborate with internal and external medical colleagues and Medical Directors in order to maintain a timely process Respond to member, pr...

Chicago, IL

Full-Time

Clinical Nurse Reviewer - RN OR LPN, Make a Positive Impact on Patient Care in a Monday - Friday operation in Melbourne, Florida If you’re a skilled RN or LPN with recent clinical care experience, this “best-of-both-worlds” position could be your ideal op...

eviCore healthcare

Melbourne, FL

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Full-Time

MenorahMedical Center – Overland Park, KS Registered Nurse – Clinical Reviewer - DRG (Diagnosis Related Group) Menorah Medical Center, afull-service, acute care hospital located on the corner of 119th and Nall inOverland Park, serves the community's healt...

Overland Park, KS

CAREERBUILDER APPLY
2d
2 days ago

Full-Time

We are seeking Licensed Nurses for a Compliance Bill Review position within our Hospital Compliance Division of Medical Recovery Services in Roanoke, VA Qualified Candidates Will Be Trained To: Examine inpatient/outpatient hospital billings for true and a...

Medical Recovery Services

Roanoke, VA

Full-Time

* Competitive pay and sign on bonus * Performs utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members; promotes effective resource management by directing member care to...

Cleveland, OH

Full-Time

inical Nurse Reviewer ($70-80K, EMG & NCS Reporting Required, 15 PTO days, Excellent Benefits) Responsible for completing clinical QA audits and/or plan of treatment reviews specific to their licensure and scope of practice. Reviews to provide recommendat...

Parsippany, NJ

Full-Time

The Rehab Liaison is responsible for developing census as defined through targeted goals of the business plan and developing referral relationships within the geographic territory with an emphasis on face-to-face contacts. In addition, the liaison will as...

Concord, NH

Full-Time | Pay: $28.00 - $35.00/hour

Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient services, wor...

Charleston, SC

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CAREERBUILDER APPLY

Full-Time

Infectious Disease Reviewer White Glove Placement Inc. is seeking qualified candidates to perform Infectious Disease Review. If you have a Bachelors or higher degree in Nursing, Science, Public Health or related field, we would like to hear from you! Job...

Albany, NY

CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

Job Title: Nurse Reviewer PR: 31 /hour Duration: LTC until approx. end of Sept Location: Remote (Ohio) The Nurse Reviewer is responsible for performing clinical reviews of medical information and quality assurance as defined by review methodologies specif...

Westerville, OH

Full-Time | Pay: $0.00 - $27.00/hour

Are you an experienced RN looking for a position without direct patient care? We are actively recruiting a top-notch Registered Nurse for a fantastic temp to hire opportunity to work within an international firm on the east-side of Rochester. We have a gr...

Rochester, NY

CAREERBUILDER APPLY
1w
1 week ago

Full-Time

LPN / Medical Reviewer Kelly Services has an exciting opportunity available for an LPN to join our client located in Surfside, SC. As the Medical Reviewer , you will be reviewing and auditing medical records for completeness and accuracy by looking at var...

Surfside Beach, SC

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CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

Full time office Based Clinical Care Reviewer RN needed for a managed care plan in the Philadelphia, PA area. Know Someone? Refer your nurse friends to Medical Staffing Network today and you are automatically eligible to earn $750. The best part is you do...

Philadelphia, PA

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

Full-Time

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents...

Springfield, MA

View 1 more

Full-Time

To support the Healthcare Operations initiatives to ensure the delivery of medically necessary and appropriate, cost-effective and timely, quality health care services, through the focused procedural review and authorization process. Required Experience:...

Meridian, ID

Full-Time

MSLA is a private provider of Medical Services. Since 1998, we have been providing medical evaluation services to federal, state, third party administrators and private insurance companies. MSLA has distinguished itself by delivering objective unbiased ex...

Pasadena, CA

CAREERBUILDER APPLY
3w
3 weeks ago

Full-Time

One of our largest clients is currently seeking a Clinical Care Reviewer in Des Moines, IA! This job will have the following responsibilities: Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical nec...

Des Moines, IA

View 2 more

Full-Time

Texas Oncology is searching for a Insurance Clinical Reviewer. The Insurance Clinical Reviewer processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence, obtains insurance...

Austin, TX

Contractor

RN Clinical Reviewer – Contract Position Performs determinations to adults with chronic illness or disability and who are either Medicaid recipients or are seeking Medicaid as payment for long term services, in the community using the Medical Eligibility...

Manchester, NH

View 5 more

Full-Time

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new...

San Antonio, TX

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CAREERBUILDER APPLY
3w
3 weeks ago

Contractor | Pay: $18.00 - $22.00/hour

The Clinical Data Reviewer is responsible for our in-house data review and support. The individual will participate in all data management activities from study start up to close out activities, and during the course of the study would clean data and orga...

San Clemente, CA

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