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13,813 clinical nurse reviewer jobs

Clinical Nurse, Outpatient

MD Anderson 100+ Reviews Houston, TX

Responds to voice mail and electronic communication with the patients, responding within 24 hours on non-emergent calls. Acts on behalf of patients… MD Anderson

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INTAKE/PRE CERT RN

Moffitt Cancer Center Tampa, FL

· Familiarity with general hospital operations as well as Medicare and Medicaid… Moffitt Cancer Center

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Clinical Quality Review Nurse

Adventist HealthCare 28 Reviews Silver Spring, MD

including working with insurance coordinators. Qualifications Registered Nurse in the state of Maryland (Bachelors Degree in Nursing Preferred… Beyond.com

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Nurse Practioner Principal Clinical Reviewer

Peak Risk Adjustment Solutions Roswell, GA

include: • Efficiently review medical records and identify opportunities for improved clinical assessment and documentation. • Perform initial… StartWire

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Clinical Review Nurse

Your Home Advantage Deerfield Beach, FL

The Clinical Review Nurses objective is to improve documentation ofthe Health Risk Adjustment Form… CareerBuilder

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Initial Clinical Nurse Reviewer

CID Management 8 Reviews Westlake Village, Los Angeles, CA

The primary role of this position will be to make preliminary determinations of medical necessity for Workers' Compensation claims. The position will… HealtheCareers

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Clinical Review Nurse – new

York Risk Services Group Inc. 42 Reviews Dublin, OH

• Receives and review MedMetrics alerts and conducts clinical assessment review of claims to determine if they meet the criteria for referral to case… York Risk Services Group Inc.

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Clinical Review Nurse

Texas Health Resources 100+ Reviews Arlington, TX

At Texas Health we are dedicated to finding people to help us fulfill our commitment to make health care human again. We staff our exemplary hospital… Beyond.com

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Clinical Review Nurse – new

York Claims Service Dublin, OH

• Receives and review MedMetrics alerts and conducts clinical assessment review of claims to determine if they meet the criteria for ref… York Claims Service

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Clinical Review/ Nurse Auditor

Community Health Systems 100+ Reviews Tucson, AZ

* Utilize pre-existing criteria and otherresources and clinical evidence to develop sound and well-supported appealarguments, where an appeal is… CareerBuilder

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Case Review Nurse/Clinical Coordinator – new

Aerotek 100+ Reviews Rockford, IL

• Case review of patients insurance claims that are in dispute. This position works closely with the reviewing physicians to compare the report to… Aerotek

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Clinical Nurse Reviewer, Quality Management FT

Sutter Health 100+ Reviews Burlingame, CA

Works under the direction of the Manager of Quality Management to carry out medical record review and abstracting functions for Core Measure… Beyond.com

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Clinical Appeals Nurse Reviewer

Medica 54 Reviews Minnetonka, MN

The Clinical Appeals Nurse Reviewer is responsible for… agency inquiries. In addition, the Clinical Appeals Nurse Medica

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Clinical Care Reviewer, Registered Nurse

AmeriHealth Caritas 45 Reviews Charleston, SC

The AmeriHealth Caritas team is growing! We are the nations leading provider of health care solutions for the underserveda mission-driven… Beyond.com

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Surgical Clinical Nurse Reviewer

Department of Veterans’ Affairs 12 Reviews Indianapolis, IN

careers and their ability to balance work and home life. VA offers generous paid time… Department of Veterans’ Affairs

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Clinical Nurse Policy Review

St John of God Health Care 1 Review Subiaco, AR

• A willingness and capacity to embrace the Mission and Values of St John of God Health Care. • Currently registered with the Australian Health… St John of God Health Care

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Surgical Clinical Nurse Reviewer

US Department of Veterans Affairs 100+ Reviews Indianapolis, IN

The VASQIP Surgical Nurse Reviewer assumes a leadership role in the oversight of Surgical Quality Management activities throughout the organization… US Department of Veterans Affairs

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Coordinator – Department Database

John Muir Health Concord, CA

will include: collection, management, and review of patient clinical data and interfacing with Investigators, clinical research coordinators… John Muir Health

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Research Nurse

MD Anderson 100+ Reviews Houston, TX

Assumes responsibility for the effective operation of research protocols in collaboration with the principal investigator and study sponsor. Examples… MD Anderson

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