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CAREERBUILDER APPLY

Part-Time | Pay: $0.00 - $40.00/hour

Immediate need for a Medical Record Review Abstractor: Perform medical record abstraction, & enter findings into Database. Identify Pursuit Opportunities & Track progress. Call provider offices & hospitals to request medical records. Call members to ident...

Monterey Park, CA

CAREERBUILDER APPLY

Full-Time

Medical Review Nurse This is a contingent position based on Award of Contract The Medical Review Nurse III is responsible for conducting complex medical record review, assisting in performing quality oversight reviews and provides assistance to the Medica...

4211 S 1102Nd Street
Omaha, NE

CAREERBUILDER APPLY

Full-Time

Contract Medical Review Nurse Job Summary: The Contract Medical Review Nurse position is responsible for performing medical record review and evaluation of medical services. Analyzes submitted claims and available medical records documentation to determin...

Pittsburgh, PA

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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

Full-Time/Part-Time

Review Assistant - Full Time or Part Time REPORTS TO: Manager, Review Operations/Supervisor, Review Operations Summary Description Prepares prior authorization cases for clinical review in order to streamline the review process. Accountabilities Reviews p...

Harrisburg, PA

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CAREERBUILDER APPLY

Full-Time

A perfect opportunity for someone interested in an insurance/medical administrative role as entry level or with previous experience in the medical field such as medical office, medical coding, hospital worker, hospice, or nursing home. Full-Time with outs...

Lenexa, KS

CAREERBUILDER APPLY

Full-Time

Job Summary: The Medical ReviewNurse I is responsible for performing medical record review and evaluation ofmedical services being audited, analyzing submitted claims and availablemedical record documents to determine programcompliance of Medicare ben...

StrategicHealthSolutions

Nashville, TN

CAREERBUILDER APPLY

Full-Time

Job Summary: The Medical ReviewNurse I is responsible for performing medical record review and evaluation ofmedical services being audited, analyzing submitted claims and availablemedical record documents to determine programcompliance of Medicare ben...

StrategicHealthSolutions

341 Cool Springs Boulevard
Franklin, TN

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CAREERBUILDER APPLY

Full-Time

Job Summary: The Medical ReviewNurse I is responsible for performing medical record review and evaluation ofmedical services being audited, analyzing submitted claims and availablemedical record documents to determine programcompliance of Medicare ben...

StrategicHealthSolutions

4211 South 102nd Street
Omaha, NE

CAREERBUILDER APPLY

Full-Time

Job Summary: The Medical ReviewNurse I is responsible for performing medical record review and evaluation ofmedical services being audited, analyzing submitted claims and availablemedical record documents to determine programcompliance of Medicare ben...

StrategicHealthSolutions

8830 Stanford Boulevard
Columbia, MD

Full-Time

Overview: The Medical Review Nurse reviews fee-for-service (FFS) records to determine if services billed were medically necessary under the Medicaid and Children's Health Insurance Program (CHIP) for the Payment Error Rate Measurement (PERM) program . ESS...

Rockville, MD

CAREERBUILDER APPLY

Full-Time

Judge Healthcare is actively HEDIS RN Medical Record Reviewer seeking full time for the nation's premier health systems!! This position is located in El Segundo, CA but you will be able to work remote! Registered Nurse HEDIS Medical Record Reviewer One of...

El Segundo, CA

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CAREERBUILDER APPLY

Full-Time

One of California’s elite health plans is seeking LVN HEDIS Medical Reviewers ! This position will be located in sunny El Segundo, CA . This position will be in support of the HEDIS Medical Record Review (MRR) cycle. The individuals will work directly wit...

El Segundo, CA

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CAREERBUILDER APPLY

Full-Time

Guarantee Trust Life Insurance Company is a longstanding leader in life and accident & health (A&H) insurance, located in suburban Glenview, Illinois. In business since 1936, Guarantee Trust Life Insurance Company was founded on the two fundamental princi...

Glenview, IL

Full-Time | Pay: $28.00 - $32.00/hour

REGISTERED NURSES AND LICENSED PRACTICAL NURSES! HEDIS OPPORTUNITIES AVAILABLE. Company: One of the largest health care organizations in the United States! Job Description: - Perform medical record reviews to support improvement and compliance, abstract H...

Doral, FL

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CAREERBUILDER APPLY

Contractor

The HEDIS Nurse Reviewer has responsibility for ensuring the quality and timeliness of the medical record review process that supports the reporting of HEDIS hybrid measures. The position is responsible for the execution of all aspects of the scheduling,...

Boston, MA

CAREERBUILDER APPLY

Full-Time | Pay: $33.00/hour

HEDIS Medical Reviewer– telecommute Time frame: January 8 – May 31 st 2018 OPEN POSITIONS: 6 LOCATION: REMOTE -base is from Detroit, Michigan ****telecommute roles. Are required to report to location mentioned below about 10% of the time. Site visits - Ma...

Detroit, Michigan, MI

CAREERBUILDER APPLY

Full-Time

Heart Care Centers of Illinois, a multi-site network of cardiovascular providers, currently has an opening for a Patient Representative – Medical Records with a proven track record of adaptability, initiative, and teamwork to assist in the day to day oper...

Palos Park, IL

CAREERBUILDER APPLY

Full-Time

On behalf of our client, we have an immediate opening for experienced Medical Record Review Nurses (RN) to conduct home health quality assessments in an office setting. If you have at least two years of experience performing medical record quality reviews...

NW DC Office - near Metro, DC

CAREERBUILDER APPLY

Contractor

Medical Review Nurse - HEDIS Duration: 6 months Location: Jacksonville,FL,32246 Determine member compliance via medical record review according to the NCQA technical specifications. Communicate with provider, internal customers and external vendors. Posit...

Jacksonville, FL

CAREERBUILDER APPLY

Full-Time

Based in sunny Monterey Park, CA , Judge Healthcare is currently in need of a HEDIS Medical Review Associate! What are the responsibilities ? The QI HEDIS Outreach Coordinator is responsible for records retrieval, medical records review to support HEDIS r...

Monterey Park, CA

Full-Time

One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has a...

KING OF PRUSSIA, PA

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CAREERBUILDER APPLY

Full-Time

HEDIS REVIEW NURSE / NURSE ABSTRACTOR Kelly Services has an exciting opportunity for a HEDIS Review Nurse / Nurse Abstractor! As a HEDIS Nurse/ Nurse Abstractor you will work in a busy office environment with no direct patient care contact. A keen attenti...

Helena, MT

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Full-Time | Pay: $25.00 - $30.00/hour

Med-Scribe, Inc. Healthcare Recruiters is presently searching to add staff to a temporary traveling Chart Review Team to fill full time positions! This is a temporary position in Buffalo, NY projected to last 3-4 months beginning January 2018. Spots fill...

Buffalo, NY

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CAREERBUILDER APPLY

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

Compass Healthcare Consulting & Placement is conducting a search for an experienced Quality Review Registered Nurse Specialist - RN for a large Managed Long Term Care Plan located in Brooklyn, NY. Qualified candidates will have prior Quality Review experi...

Brooklyn, NY

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