- Zurich NA (Schaumburg, IL)
- Medical Bill Review Senior Nurse 127127 Zurich Insurance is currently looking for a ** Medical Bill Review Senior Nurse ** to work from our ... quickly and completely, provide status updates to ensure customer satisfaction. + Review assigned medical bills, apply technical insights, applying discretion… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Attorney General, Office of the Title Legal Nurse | Review Medical Malpractice Claims for NYS (6402) Occupational Category Legal Salary Grade ... Analysts assigned to the Claims Bureau will analyze and review claims containing allegations of medical malpractice;...and be registered to practice as a registered professional nurse or licensed physician in New York state. It… more
- Molina Healthcare (Warren, MI)
- …on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience, ... responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and… more
- The County of Los Angeles (Los Angeles, CA)
- …REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse * or Medical Service Coordinator, CCS.** -OR- OPTION ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333)...needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review… more
- CVS Health (Columbus, OH)
- …lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review , you'll play a vital ... skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and… more
- CVS Health (Salt Lake City, UT)
- …skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and ... referral as needed. + Assists management with training new nurse reviewers/business partners or vendors to include initial and...Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. +… more
- Elevance Health (Los Angeles, CA)
- …unless an accommodation is granted as required by law. The ** Medical Management Nurse ** is responsible for review of the most complex or challenging cases ... ** Medical Management Nurse ** **Hours: Candidates will...and requires a minimum of 2 years clinical, utilization review , or case management experience; or any combination of… more
- HCA Healthcare (San Antonio, TX)
- …career path, we encourage you to apply for our Medical ICU Registered Nurse opening. We review all applications. Qualified candidates will be contacted by a ... **Description** **Introduction** Do you have the career opportunities as a Medical ICU Registered Nurse you want in your current role? We invest in what matters… more
- HCA Healthcare (Las Vegas, NV)
- …personal growth, we encourage you to apply for our Medical Surgical Nurse opening. We promptly review all applications. Highly qualified candidates will be ... integrity. We care like family! Jump-start your career as a(an) Medical Surgical Nurse today with Sunrise Hospital. **Benefits** Sunrise Hospital offers a total… more
- HCA Healthcare (Nashville, TN)
- …growth, we encourage you to apply for our Trauma Medical Surgical Nurse opening. We promptly review all applications. Highly qualified candidates will be ... **Introduction** Do you have the career opportunities as a(an) Trauma Medical Surgical Nurse you want with your current employer? We have an exciting… more