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Registered Nurse Core Measures Quality

Corpus Christi Medical Center Bay Area
Corpus Christi, TX
Description Active Full Time position in our Quality Management Department as a RN - Core Measures. This position reports to the Director of Quality and is a Clinical Reviewer who is responsible for...

Posted: 22 days ago

Nurse Abstractor / Reviewer

Company Confidential
Brentwood, TN
Job Job Description Clinical Data Abstractor / Medical Records AbstractionCSI is looking for someone for a professional with medical records review experience for an abstractor position. - This pe...

Posted: 18 days ago

Fraud Waste and Abuse Nurse Reviewer

Meridian
Detroit, MI
Overview: Who we are: Meridian Health Plan is a family-owned, family-operated company of passionate leaders, achievers, and innovators dedicated to making a difference in the lives of our membe...

Posted: 2 days ago

Surgical Case Nurse Reviewer

Chenega GTW, LLC (CGTW)
Elmendorf AFB (US Air Force Base), AK
GTW Consultants & Associates, LLC Company Job Title: Surgical Case Nurse Reviewer (SCNR) Clearance: NACI Location: Elmendorf AFB, AK Reports To: Program Management FLSA Status: SCA, Non-...

Posted: 7 days ago

Clinical Reviewer LPN Nurse

TRC Staffing
Phoenix, AZ
We are partnered with a large growing managed care employer on a major initiative staffing their clinical personnel! Temp to hire positions! Clinical Reviewer – LPN – up to $25 an hour. Need at least...

Posted: 5 days ago

Clinical Claims Review Nurse

IASIS Healthcare
Phoenix, AZ
JOB SUMMARY: The Utilization Claims Review Nurse reviews and analyzes medical record and claims data, utilizing and applying Interqual Acute/Sub-acute Care Criteria and DRG coding practices to determi...

Posted: 13 days ago

Registered Nurse - Clinical Reviewer - DRG

Menorah Medical Center
Overland Park, KS
Description MenorahMedical Center – Overland Park, KS Registered Nurse – Clinical Reviewer - DRG (Diagnosis Related Group) Menorah Medical Center, afull-service, acute care hospital located on the...

Posted: 10 days ago

Compliance Coding Nurse / Medical Reviewer / RN

Kelly Services
Chesterfield, MO
Compliance Coding Nurse / Medical Reviewer ? Direct Hire!Kelly Services has a unique opportunity available for an RN / Compliance Coding Nurse / Medical Reviewer to join our client?s team located in C...

Posted: 2 days ago

Clinical Reviewer, LPN Nurse

TRC Staffing
Tempe, AZ
We have partnered with a large valley managed care employer with a major initiative and need to ramp up their clinical staff! Temp to hire positions! Clinical Reviewer – LPN – up to $25 an hour. Tempe...

Posted: 5 days ago

Utilization Claims Review Nurse

IASIS Healthcare
Phoenix, AZ
JOB SUMMARY: The Utilization Claims Review Nurse reviews and analyzes medical record and claims data, utilizing and applying Interqual Acute/Sub-acute Care Criteria and DRG coding practices to determ...

Posted: 7 days ago

Outside Care Clinic Reviewer RN

Kaiser Permanente
Pasadena, CA
Responsible for ensuring that Kaiser Permanente reimburses outside providers only for services that are authorized by physicians and that charges are reimbursed based on valid contractual agreements. ...

Posted: 25 days ago

RN Medical Reviewer

Noridian Administrative Services
Fargo, ND
* In Office Position * Primary Objective of Position The purpose of this job is to reduce medical necessity claim errors through complex medical review, requiring the analysis of available patie...

Posted: 63 days ago

Registered Nurse- HHRG Validation Reviewer- Per Diem

Lenox Hill Hospital
Nassau County, NY
Description NORTHWELL HEALTH HOME CARE JOB DESCRIPTION JOB TITLE : HHRG VALIDATION REVIEWER DEPARTMENT :HOME CARE REPORTS TO : SUPERVISOR, HHRG VALIDATION REVIEW POSITION SUMMARYConducts Home Heal...

Posted: 111 days ago

RN-SURGICAL CLINICAL REVIEWER

Geisinger Health System
SCRANTON, PA
Location: GCMC - MAIN CAMPUS Work Schedule: Days Work Type: Full Time 1.0FTE (80 Hours Bi-Weekly) Every other weekend and every other holiday. Department: Surgery JOB SUMMAR...

Posted: 56 days ago