Medical Review Nurse Jobs

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RN Medical Review Nurse  

CES, LLC - Madison, WI (+3 locations)

Medical Review Nurse (RN Required) Performs pre and/or postpay medical review workload for Medicare and/or Medicaid claims in support of program integrity work for UPIC Mid-Western Jurisdiction Medical Review Nurse Work careers...

from: - 2 days ago

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Denver, CO Associate Regional Medical Officer- PS21404  

Anthem, Inc - Denver 80285, CO, United States

, and specialists. Makes hospital rounds daily. Collaborates with hospitals and care management teams and reviews patients with case managers. Attends to patients in CareMore Care Center (CCC) and assists nurse Medical Review Nurse careers...

from: - 4 days ago

Utilization Review Nurse (RN) Medical Group  

Brown & Toland Medical Group - Oakland, CA

medical information in order to determine the medical necessity of continued stay according to review standards. Also conducts further review and analysis in order to determine whether treatments medical review nurse consultants...

from: - 5 days ago

Quality Analyst, RN  

WakeMed - Raleigh, NC

analyst and system-wide customers to provide validated data for OPPE/FPPE and Medical Staff Peer Review committees. Experience Requirements : 2 Years Clinical - Acute Care Required - And 2 Years Quality remote medical review nurse...

from: (+1 source) - 5 days ago

Quality Assurance Nurse  

Services for the UnderServed - New York 10060, NY, United States

Nurse will; Conduct programmatic reviews of medical documentation to ensure best practices and compliance with medical standards Review incidents with medical issues and review medical policies medical review nurse remote work from home...

from: - 3 days ago

Director of Managed Care and Clinical  

AmTrust Financial - East Hartford, Connecticut, US (+1 location)

, and medical management outcomes of AmTrust’s managed care operations. This role will have oversight of telephonic nurse case management, pharmacy management nurses and Utilization review nurses to deliver remote medical record review nurse...

from: (+1 source) - 2 days ago

Licensed Practical Nurse (LPN) PT Night Shift Sign on Bonus  

Southern Health Partners - Onslow County, NC, United States (+1 location)

Practical Nurse to utilize their nursing skills for a diverse patient group. In a secure jail medical unit, you will deliver patient care, ensure proper medication administration and handling, review data home medical review nurse...

from: - 9 days ago


Walgreens - Canton, Michigan, US (+8 locations)

with local medical community including physicians, nurses, and other health care providers. Reaches out to the community to promote the pharmacy business and further enhance growth opportunities. Supports telecommute medical review nurse...

from: (+1 source) - 6 days ago

Vice President Clinical Risk Management  

Aurora Health Care - Milwaukee 53244, WI, United States

, and media relations. Facilitates patient disclosure meetings. Act as the clinical risk expert and resource for medical/legal inquiries of physicians, nurses, administrators, and others regarding emergent medical review nurse rn work...

from: (+2 sources) - 3 days ago

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Research Study Assistant  

Northwestern University - Chicago, Illinois

interviews. * Scores test results. * Collects survey data. * Reviews medical records. * Consults with nurses & physicians to determine pretreatment & eligibility requirements of protocol from completion telecommuting medical review nurse auditor...

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from: - 12 days ago

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Some Valuable Facts about Medical review nurse jobs

We are pleased that approximately 10% of our users in the Health sector, are also interested in applying to some of these jobs.

Would you like to know where the most vacancies related to what you want are hidden? The place that leads the ranking is certainly Nashville, TN, with 4% of offers. You should not overlook New York, NY, since 78 of the jobs lie in that location. Philadelphia, PA is in third place, with 64 job ads that may match your search criteria.

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Medical Review Nurse