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219 Review Nurse jobs

Showing 1–20 of 219 jobs

CC

Arizona, United States + 3 more (Remote)

$27.00 – $49.00 / hour

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating…

6 days ago

CC

New York, United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating…

1 wk. ago

P

South Carolina, United States + 2 more (Remote)

REGISTERED NURSE (RN) - ESPISODE ASSESSMENT COORDINATOR - HOME HEALTH SERVICES - REMOTE - PRN AVAILABLE Must live in South Carolina, North Carolina,…

3 wk. ago

FI

Nurse Reviewer LPN

FHAS, Inc. (Federal Hearings & Appeals Services)

Pennsylvania, United States (Remote)

$67.5–75K / year

Provide timely review and determination of medical claims, including prior authorization, appeals, and/or any other type of medical claims; Provide…

2 days ago

CC

Grievance & Appeals Nurse

Centene Corporation

California, United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Facilitate medical necessity grievance, appeals and denials including disposition of denials notification letters, review of…

4 days ago

DS

United States (Remote)

Dane Street has embarked on a program where we are looking for Registered Nurses to perform reviews and clinical summaries for disability claims.

3 mo. ago

VH

United States (Remote)

$36.00 – $38.00 / hour

Vida is looking for a licensed RN or LPN to manage clinical review requests, escalations, and member inquiries in a fully remote, virtual care setting.

2 wk. ago

WH

Appeals Registered Nurse

WPS Health Solutions

Colorado, United States + 16 more (Remote)

$66–68K / year

Role Snapshot The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided…

5 days ago

CH

Austin, Texas, US (Hybrid)

Overview Under the supervision of the Director of Case Management, the Care at Home Registered Nurse is an integral part of a collaborative,…

3 days ago

C

Alaska, United States + 13 more (Remote)

$65.00 – $70.00 / year

ABOUT US Calibrate is on a mission to change the way the world treats weight by redefining obesity care as a matter of biology, not willpower.

4 wk. ago

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