Medical Review Nurse Jobs

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Medical Review Nurse  

BroadPath Healthcare Solutions - Tucson, Arizona

* Review and make determinations on cases on appeal or denials due to medical necessity of services and/or reasonableness and necessity...

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from: (+5 sources) - 14 days ago

Medical Review Nurse, RN (Registered Nurse)  

StrategicHealthSolutions - Omaha, NE (+2 locations)

StrategicHealthSolutions, LLC is making a difference for today, tomorrow and years to come to make Healthcare a sustainable resource...

from: - 9 days ago

Medical Review Nurse (RN or LPN with Provider billing exp)  

Access Talent Today, LLC - Clayton, Missouri

* Perform retrospective high dollar claims for benefit and pricing-determination. * Collect hospital medical records as appropriate...

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from: (+1 source) - 21 days ago


Capital BlueCross - Reading, Pennsylvania (+1 location)

Capital BlueCross is the leading health solutions and insurance company in Central Pennsylvania and the Lehigh Valley. As a partner...

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from: (+3 sources) - 2 days ago

Utilization Review Nurse  

Healthcare Support - Boise, ID

If you are interested in applying to this Utilization Review Nurse position, please click Apply Now for immediate consideration OR...

from: - 2 days ago

Utilization Review Nurse  

Rising Medical Solutions - Chicago, Illinois

* Document properly in Rising's database (and client data bases when appropriate), and send determination letters on each completed...

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from: (+1 source) - 6 days ago

Director of Quality Review - Nurse  

MJ Morgan Group - New York, New York

* Supervises QA activities with the Medical Director or designee in regards to RN and physician consultants and the quality of the...

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from: - 7 days ago

Utilization Review / Quality Registered Nurse  

KA Recruiting - Nursing Jobs - Staff Level - Clayton, NY

K.A. Recruiting, Inc. is a premier healthcare recruiting firm based in downtown Boston. We work with hundreds of hospitals and healthcare...

from: - 2 days ago

Utilization Review Nurse Manager / Case Manager (UM / UR RN)  

MedTalent - Springfield, Massachusetts

* Experience with UM/CM software tools (Milliman/InterQual), pre-certification, concurrent review, prior authorization, care coordination...

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from: - 3 days ago

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Utilization Review Nurse / Quality Analyst  

Catholic Health Initiatives - Park Rapids, MN

6. Remains knowledgeable about current utilization review requirements for CMS and other insurance providers and educates pertinent...

from: (+2 sources) - 5 days ago

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Medical Review Nurse