RN Clinical Reviewer: Health Insurance & Medical Necessity
Blue Cross Blue Shield of Arizona
Blue Cross Blue Shield of Arizona seeks a candidate for a full-time position focused on managing customer inquiries regarding health insurance. Responsibilities include processing inquiries, analyzing medical records, and ensuring compliance with standards. The ideal candidate should have a minimum of 2 years of relevant experience and an active behavioral health or nursing license in Arizona. Strong communication and problem-solving skills are essential, as well as a dedication to maintaining confidentiality. #J-18808-Ljbffr Blue Cross Blue Shield of Arizona
- Trend Health Partners is seeking a Nurse Auditor I to perform medical necessity reviews of clinical documentation, ensuring compliance with contracts... ...experience and an active RN or LPN license. This position... ...package including health insurance and a 401(k) plan. Join us...MedicalHealth Insurance
- ...Summary: This on‑site Clinical Documentation... ...stratification in the medical record. The role performs... ...inpatient reviews, collaborates with providers... ...Qualifications Registered Nurse (RN) licensed in... ...skills. Benefits Health, dental, and vision insurance with three medical...MedicalHealth InsuranceTemporary workShift work
$50k
Department Overview The Clinical Documentation... ...concurrent and retrospective review of provider documentation... ...care plans within the health record to accurately... ...comprehensive medical record documentation to... ...dependents. $50K of term life insurance provided at no cost to...MedicalHealth InsuranceFull timePart timeRemote work- ...Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements... ...In Performance Review. # Performs Other... ...qualifications. Comprehensive health, dental, and vision insurance. Retirement... ...complex cardiac, medical diagnoses such as myocardial...MedicalHealth InsuranceTemporary workFlexible hours
$58 - $63 per hour
Remote -Inpatient Clinical Documentation... ...provided by Pride Health. Your actual pay... ...up other ICDI reviews, reconciliation... ...AND a RHIT, RHIA, RN, CCS, CCS-P, or Medical Degree. Job Duties... ...the medical necessity of services and... ...for all health insurance plans. Facilitates...MedicalHealth InsuranceRemote jobHourly payFull timeContract workMonday to FridayFlexible hoursShift workAfternoon shift$36 - $48 per hour
Santa Barbara Cottage Hospital is seeking a Medical Claims Clinical Review Nurse for a remote position. This role involves conducting clinical reviews... ...with regulations. The ideal candidate will have an RN license in California and a minimum of three years of clinical...MedicalRemote jobHourly pay- CVS Health is seeking a registered nurse to review and interpret clinical documentation for post-service claims, applying appropriate... ...teams. The role requires an RN license with 2-3 years’ professional... ...analytical skills to assess medical claims. Full-time position with...MedicalFull time
$45 - $50 per hour
...looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New... ...benefits including paid vacation and health insurance, this position offers a great work-life... ...nursing programs with an active New York RN license. #J-18808-Ljbffr...Health InsuranceRemote jobHourly pay$2,580 per week
...Registered Nurse (RN) | Wound/Ostomy Location: New York, NY Agency: Core Medical Group Pay: $2,580 per week Shift Information: Days... ...extensive benefits package, including day 1 health, dental, and vision insurance, employer paid life insurance, a health...MedicalHealth InsuranceHourly payWeekly payFull timeContract workImmediate startShift work- ...will be responsible for reviewing pertinent patient data,... ...at risk for declining health status. Specifically, you... ...for accuracy of clinical and demographic information... ...context of each patients’ medical history, care plan... ...Reviewers, LPN Reviewers and RN Reviewers in building...MedicalHealth InsuranceFor contractorsRemote work
- Trend Health Partners, LLC is seeking a full-time Licensed Nurse Auditor to perform medical necessity reviews of clinical documentation. This remote position ensures compliance with contracts... ...candidate should have an active RN or LPN license, 5 years of clinical experience...MedicalHealth InsuranceRemote jobFull time
$2,580 per week
...Registered Nurse (RN) | Wound/Ostomy Location: New York, NY Agency: Core Medical Group Pay: $2,580 per week Shift Information: Days... ...extensive benefits package, including day 1 health, dental, and vision insurance, employer paid life insurance, a health...MedicalHealth InsuranceHourly payWeekly payDaily paidPermanent employmentFull timeContract workTemporary workImmediate startRelocationShift work$1,896 - $2,102 per week
...Registered Nurse (RN) | Medical-Surgical Location: New York, NY Agency: LRS Healthcare Pay: $1,896 to $2,10... ...Background and drug screen Benefits: ~ Health, Dental, and Vision Insurance ~ Customized Housing Options ~ Life and Disability...MedicalHealth InsuranceFull timeContract workImmediate startShift workNight shift$2,536 per week
...Registered Nurse (RN) | Medical-Surgical Location: New York, NY Agency: Seven Healthcare... ...fellow healthcare professionals Health insurance - comprehensive medical coverage for... ...patients and families and reviewing health records Initiate emergency...MedicalHealth InsuranceWeekly payFull timeImmediate startFlexible hoursShift workWeekend work$2,536 per week
...Registered Nurse (RN) | Medical-Surgical Location: New York, NY Agency: Seven Healthcare... ...fellow healthcare professionals Health insurance - comprehensive medical coverage for... ...interviewing them and their families, reviewing health records, and determining...MedicalHealth InsuranceWeekly payFull timeImmediate startFlexible hoursShift work$2,536 per week
...Registered Nurse (RN) | Medical-Surgical Location: New York, NY Agency: Seven Healthcare... ...fellow healthcare professionals Health insurance - comprehensive medical coverage for... ...care Record and document clinical observations and therapeutic measures...MedicalHealth InsuranceWeekly payFull timeImmediate startFlexible hoursShift work$2,536 per week
...Registered Nurse (RN) | Medical-Surgical Location: New York, NY Agency: Seven Healthcare... ...fellow healthcare professionals Health insurance - comprehensive medical coverage for... ...patients and families and reviewing health records Initiate emergency...MedicalHealth InsuranceWeekly payFull timeImmediate startFlexible hoursShift workWeekend work$2,834 per week
...Registered Nurse (RN) | Medical-Surgical Location: New York, NY Agency: Seven Healthcare Pay: $2,834 per week Shift... ...for introducing fellow healthcare professionals Health insurance - comprehensive medical coverage for you and your family...MedicalHealth InsuranceWeekly payFull timeImmediate startFlexible hoursShift workWeekend work$2,417 per week
...Registered Nurse (RN) | Medical-Surgical Location: New York, NY Agency: Seven Healthcare Pay: $2,417 per week Shift... ...for introducing fellow healthcare professionals Health insurance - comprehensive medical coverage for you and your family...MedicalHealth InsuranceWeekly payFull timeImmediate startFlexible hoursShift workNight shiftWeekend work$2,417 per week
...Registered Nurse (RN) | Medical-Surgical Location: New York, NY Agency: Seven Healthcare Pay: $2,417 per week Shift... ...for introducing fellow healthcare professionals Health insurance - comprehensive medical coverage for you and your family...MedicalHealth InsuranceWeekly payFull timeImmediate startFlexible hoursShift workNight shiftWeekend work$2,536 per week
...Registered Nurse (RN) | Medical-Surgical Location: New York, NY Agency: Seven Healthcare... ...fellow healthcare professionals Health insurance - comprehensive medical coverage for... ...care plan by interviewing patients, reviewing health records, and determining care...MedicalHealth InsuranceWeekly payFull timeImmediate startFlexible hoursShift workWeekend work$66k - $100k
...services and benefits based on medical necessity for an enrollee. Provides plan education... ..., transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care... ...federal regulations including Health Insurance Portability and Accountability Act...MedicalHealth InsuranceFull timeShift work$126.41k - $160.19k
...Overview VNS Health Home Care RNs redefine the standard of patient-centered... ...individualized care plans and exceptional clinical outcomes to our neighbors most in... ...cost or annual deductible for health insurance including Medical, Dental, and Vision for you and your...MedicalHealth InsuranceFull timeWork experience placementRelocation packageFlexible hours$93.4k - $116.8k
...you an experienced RN with a strong background... ...quality of care reviews, incident investigation... ...compliance? VNS Health Plans is seeking a seasoned clinical professional to play... ...holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life...MedicalHealth InsuranceFull timeWork experience placementFlexible hours$90k - $110k
...Arlo Health Insurance Senior Case Manager Most of... ...healthcare expensive isn't medical care. It's the... ..., operations, clinical programs, and member... ...members. You'll review claims data, prior... ...for an experienced RN who can think... ...workflows on medical necessity questions and appropriate...MedicalHealth Insurance$3,133 per week
...seeking an experienced Medical Surgical Registered Nurse... ...candidates in the RN, Med/Surg profession for... ...does not include taxes, insurance, or other deductions that... ...: Comprehensive Health, Dental and Vision insurance... ...recognitions are fueled by real reviews by real travel nurses...MedicalHealth InsuranceHourly payContract workWork at officeRemote workShift workWeekend work- ...Granger Medical Clinic is seeking a Medical Coder for a remote position, with essential duties including auditing and coding daily E... ...certified by AAPC or AHIMA. Benefits include comprehensive health insurance, paid time off, tuition reimbursement, and a 401(k) with company...MedicalHealth InsuranceRemote work
$125.4k - $200.7k
...innovative translational and clinical research that is... ...regular concurrent reviews to ensure medical necessity and appropriate... ...documentation Work with insurance carriers and MSK... ...State Registered Nurse (RN) license/... ...regulations governing health insurance coverage and...MedicalHealth InsuranceShift workWeekend work$2,694 per week
...Registered Nurse (RN) | Endoscopy Location: New York, NY Agency: Stability Healthcare Pay: $2,694 per week... ...experience as an RN Benefits Agency Benefits Day 1 Health Insurance (Medical, Dental, Vision), Flexible Housing Options, Guaranteed Stipend...MedicalHealth InsuranceHourly payWeekly payFull timeContract workFlexible hoursShift work$2,694 per week
...Registered Nurse (RN) | Endoscopy Location: New York, NY Agency: Stability Healthcare Pay: $2,694 per week... ...experience as an RN Benefits Agency Benefits Day 1 Health Insurance (Medical, Dental, Vision), Flexible Housing Options, Guaranteed Stipend...MedicalHealth InsuranceHourly payWeekly payFull timeContract workLive outFlexible hoursShift work
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