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69 Jobs Found
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Nurse Reviewer I or Nurse Reviewer Associate - Westchester, IL - AIM (104631)

Job type: Full-Time

Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide. Nurse Review...

CareMore Health Plan  
IL - Westchester
2 days ago

Registered Nurse – LPN, Utilization Reviewer

Job type: Full-Time

Registered Nurse – LPN, Utilization Reviewer St. Luke’s Health System Boise, Idaho St. Luke’s Health System is seeking an experienced LPN – Utiliza...

St. Luke’s Health System  
ID - Boise
19 days ago

RN Reviewer

Job type: Full-Time

APS Healthcare, a KEPRO Company is a rapidly growing national quality improvement and care management organization. We work to ensure that over 1 b...

WV - Charleston
29 days ago

PASRR Reviewer

Job type: Full-Time

ABOUT THE POSITION We are currently seeking multiple dynamic PASRR Reviewers to join our team in GA. The PASRR Reviewer is responsible for conducti...

GA - Athens
2 days ago


LPN Medical Records Reviewer – WORK FROM HOME

Job type: Full-Time | Pay: $17.00/hour

Med-Scribe, Inc. has been finding top-notch candidates for our clients in the Rochester area since 1987. We began with medical office placements an...

Med-Scribe, Inc.  
NY - Rochester
27 days ago

Clinical Nurse Reviewer - Work from home!

Job type: Full-Time

Work at eviCore Our success is found in the dedication and talent of its staff. Our innovation and success depend on our ability to attract highly...

eviCore healthcare, Bluffton, South Carolina  
FL - Miami
21 days ago

Clinical Care Reviewer

Job type: Contractor

Our client is looking for a contract Clinical Care Review Nurse in Philadelphia. 3+ years experience in a related clinical setting RN Excellent ora...

Becker Technical Staffing  
PA - Philadelphia
28 days ago

Medical Review Clinical Reviewer - Medicare

Job type: Full-Time

JOB DESCRIPTION Review and analyze pre and post pay complex health care claims from a medical perspective. Make decisions concerning the validity o...

Novitas Solutions, Inc  
FL - Jacksonville
21 days ago

PIP Reviewer (#15029)

Job type: Full-Time

About IPRO As a leading health care consulting organization, IPRO provides a full spectrum of health care assessment and improvement services with...

NY - New Hyde Park
15 days ago

Clinical Reviewer - LPN

Job type: Full-Time | Pay: $22.75 - $25.50/hour

Currently hiring Clinical Reviewer - LPN, for a Insurance Benefit comapny located in Nashville, TN. This will be a long term permanent position. Jo...

TN - Nashville
13 days ago

LVN Nurse Reviewer Associate AIM Glendale, CA 107152

Job type: Full-Time

Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide. Location: Gl...

AIM Specialty Health  
CA - Glendale
18 hours ago

RN Emerg Dept Med Rec Reviewer/ FT

Job type: Full-Time

Job Description RN Emerg Dept Med Rec Reviewer/ FT(Job Number:00477-5486) Work Location: United States-Florida-Loxahatchee-Palms West Hospital - Pa...

HCA-East Florida  
FL - Loxahatchee
8 days ago

Nurse Reviewer - LPN, RN

Job type: Full-Time

KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 1 billion people receive the...

OH - Cleveland
9 days ago

Nurse Reviewer-Medical Records [In-House]

Job type: Full-Time

We have an immediate opening for an experienced RN to conduct medical record quality reviews in an office setting. If you have at least two years o...

Professional Services Network, Inc  
DC - Washington
27 days ago

RN Registered Nurse UAS Reviewer

Job type: Full-Time

RN UAS Assessment Reviewer Centers Plan for Healthy Living is actively seeking an RN UAS Assessment Reviewer PRIMARY RESPONSIBILITIES: Review UAS a...

Centers Plan for Healthy Living  
NY - Staten Island
6 days ago

Medical Reviewer III

Job type: Full-Time

Position Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol set...

TN - Chattanooga
14 days ago

Clinical Reviewer - Work from Home

Job type: Full-Time

Are you a Registered Nurse that wants to be a part of making a difference in healthcare? Come join our Clinical Reviewer Team at eviCore healthcare...

Carecore National, LLC  
SC - Bluffton
23 days ago

Telephonic - Clinical Nurse Reviewer

Job type: Full-Time | Pay: $25.00 - $40.00/hour

Clinical Nurse Reviewer Many employees also enjoy the opportunity to work remotely from home The ideal candidate will need to be a Registered Nurse...

SC - Bluffton
8 days ago

MDS Nurse Reviewer / Registered Nurse

Job type: Full-Time

MDS Nurse Reviewer / Registered Nurse Seeking Nurses with MDS experience to work with a large insurance company. Monday-Friday & rotate every 5th S...

A-Line Staffing Solutions.  
MI - Detroit
11 days ago

Government Audit Reviewer (Home Office), RN or LPN

Job type: Full-Time

Responsible for activities associated with the receipt, processing, review and final determination of government inquiries and requests for clinica...

LHC Group  
LA - Lafayette
4 days ago

UM Reviewer, Behavorial Health

Job type: Full-Time

Position Purpose: Authorize and/or review utilization of mental health and substance abuse services provided in inpatient and intermediate care set...

AZ - Tucson
16 days ago

Psychologist Peer Reviewer - Latham, NY

Job type: Full-Time

New York HARP Program! Licensed Psychologist! For those who want to invent the future of health care, here's your opportunity. We're going beyond c...

UnitedHealth Group  
NY - Latham
21 days ago

Medical Safety Reviewer

Job type: Full-Time

Reviews safety-related data from clinical trials for content, quality, adherence to regulatory guidance and protocols. Triages SAE information in o...

Green Key Resources  
IL - North Chicago
22 days ago

Clinical Care Reviewer - Inpatient or Pre-Auth - Miami

Job type: Full-Time

Prestige Health Choicewww.prestigehealthchoice.comis a Provider Service Network and now one of thestate of Florida’s leading Medicaid PSN (Provider...

Prestige Health Choice  
FL - Doral
29 days ago

Inpatient Review Nurse Team Lead

Job type: Full-Time

Overview: This position is responsible for specific functions within the Utilization Management Department including, orientation and training of n...

Meridian Health Plan  
IL - Chicago
2 days ago


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