1,236
claims, Registered Nurse jobs.
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Immediate opportunity for an experience Registered Nurse to be part of a small Claims Review Management unit. The RN will be assigned to management work groups and project teams. Assignments...
from CareerBuilder
more than 30 days ago
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The Registered Nurse Medical Claims Reviewer is necessary for the clinical review of claims in accordance with medical policy and contractual provisions to ensure appropriate claims processing...
from CareerBuilder
more than 30 days ago
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, and MediCal guidelines.? Responds effectively to requests for additional information and claim denials.? Identifies improvement areas and educates staff in the areas of outcome improvement, payment issues...
Today
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rendered by providers enrolled in health plan programs . Specific duties are as follows: *Identifies discrepancies through the analysis of paid claims, itemized bills, and computer reports. This includes...
from CareerBuilder
23 days ago
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employers use the services of OccMD to assist in the management of their injury claims. We are evidence based, and seek to provide the best outcome for the employee as well as the employer. The full...
from CareerBuilder
19 days ago
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improvement. - Establish relationships and communicate with members, family, inpatient and outpatient providers and case managers, community resources, skilled nursing staff, member's service, claims, contracts...
from Beyond.com
Today
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Coordination, or Workers Compensation Nurse Review .
*RN licensure required .
*Familiar with MS Office products and ability to update Claims system ....
from CareerBuilder
8 days ago
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and shall maintain professional liability insurance in the amount of coverage of not less than $1,000,000 for a single claim, and not less the $3,000,000 for aggregate claims. · Have all credentialing...
from CareerBuilder
more than 30 days ago
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of participants with physician signed plan of care and actual Medicaid claims for home care services to assure assessed home care needs are met; and ` Document findings in an established Access database. Required...
from CareerBuilder
28 days ago
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include positions such as: registrars, medical billing specialists, medical coders, claims processing and medical collection positions. Interested candidates please send resume in Word format to rtrinh...
from CareerBuilder
19 days ago
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management of claims and lost work time. Assist Physicians with providing nursing care services to clients and maintaining standards of quality care. This may includes but is not limited to prescribing...
from CareerBuilder
20 days ago
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· Claims Processor · Insurance Biller/Coder/Data Entry · Insurance Follow-up · Medical Secretary · Human Resources · Administrative Assistant · Office Manager /Office Supervisor · Practice...
from CareerBuilder
23 days ago
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in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc. .
*Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness...
from CareerBuilder
15 days ago
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treatment plan upon patient admission to include alternatives to use of seclusion/restraint .
*Complete Progress Notes electronically on ClaimTrak; ensure notes are signed, dated, and times and reflect...
from CareerBuilder
more than 30 days ago
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, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc. • Demonstrate ability to apply plan policies and procedures effectively. • Consult...
from CareerBuilder
30 days ago
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management of claims and lost work time. Assist Physicians with providing nursing care services to clients and maintaining standards of quality care. This may includes but is not limited to prescribing...
from CareerBuilder
more than 30 days ago
Save
improvement. - Establish relationships and communicate with members, family, inpatient and outpatient providers and case managers, community resources, skilled nursing staff, member's service, claims, contracts...
from Beyond.com
Today
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improvement. - Establish relationships and communicate with members, family, inpatient and outpatient providers and case managers, community resources, skilled nursing staff, member's service, claims, contracts...
from Beyond.com
Today
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and assists designated employer representatives with safety and OSHA initiatives, claim management, and non occupational disability programs. The occupational health nurse is responsible for communication...
from CareerBuilder
more than 30 days ago
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claiming experience in a state other than California mustattach a copy of their registered nurse license fromthat stateto the application at the time of filing. Applications submitted withoutthe required...
from CareerBuilder
Yesterday
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