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10,567  Clinical Nurse Reviewer Jobs

Clinical Nurse Reviewer

AMN Healthcare Colorado Springs, CO

Our Company is looking for energetic and experienced Nurses (RN or LPN/LVN) to perform clinical certification activities including capturing… CareerBuilder

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Clinical Review Nurse - LPN

Emdeon 81 Reviews Tampa, FL

Investigates, researches, and analyzes medical review cases in-depth using clinical expertise. Validates clinical requirements/care administered… Emdeon

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Clinical Nurse Reviewer

AMN Healthcare 83 Reviews Charleston, SC

Our Company is looking for energetic and experienced Nurses (RN or LPN/LVN) to perform clinical certification activities including capturing… CareerBuilder

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Registered Nurse Clinical Care Review Contractor

Incepture, Inc. 12 Reviews Miami, FL

This position is responsible for conducting timely reviews of all requests for services required to meet benefit coverage and medical necessity… CareerBuilder

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Clinical Review Nurse – new

Medica 43 Reviews Minnetonka, MN

The Clinical Utilization Management Nurse Reviewer works… Management Nurse Reviewer activities require interfacing with members,… Beyond.com

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Clinical Review, Registered Nurse

Texas Health Resources 100+ Reviews Arlington, TX

Specialty certification preferred. Requires interpersonal, analytic, and… Beyond.com

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Clinical Review Nurse (Clinical Thresholds)

South Western Ambulance Service United States

To ensure this happens the CCG have developed a series of clinical thresholds which underpin the referral of patients for low priority procedures… Glassdoor

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Clinical Quality Nurse Reviewer

Kingman Regional Medical Center 9 Reviews Kingman, AZ

Responsible for concurrently and retrospectively reviewing medical records for data collection purposes and for investigation of potential clinical… Glassdoor

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Clinical Review Nurse Specialist

PMSI 30 Reviews Tampa, FL

• Applies objective, evidence-based guidelines (PMSI/PMI Proprietary Clinical Guidelines) to home health services, equipment and supplies prescribed… CareerBuilder

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Clinical Review Nurse

York Risk Services Group Inc. 13 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 management… Glassdoor

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Clinical Review Nurse

HealthHelp 20 Reviews Houston, TX

• Performs clinical intake and certifies cases according to policies and procedures of HHLLC. • Refers all calls to the Assessment Manager per… Glassdoor

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NURSING-Utilization Review/Clinical Doc. Impr. Nurse-Utilization Review

Tuba City Regional Health Care Corp. 1 Review Tuba City, AZ

The Utilization Review/Clinical Documentation Improvement (UR/CDI Nurse) is responsible for improving and educating Tuba City Regional Health Care… Glassdoor

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Clinical Review Nurse

York Claims Service Dublin, OH

• Receives and review MedMetrics alerts and conducts clinical assessment review of claims to determine if the… Glassdoor

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Clinical Utilization Review Nurse

InGenesis Valdosta, GA

InGenesis provides healthcare management and staffing solutions to government, education and corporate clients and is one of Americas fastest-growing… Beyond.com

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(RN) Disability Nurse Reviewer/Clinical Consultant

Aetna 100+ Reviews Plantation, FL

that include the review of clinical records and communications with providers and other parties, to facilitate the clinical aspects of claim… Glassdoor

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Clinical Nurse Reviewer - Work from home!

CareCore National 44 Reviews Bluffton, SC

***Are you a Registered Nurse that wants to be a part of making a difference in healthcare?** *Come join our Clinical Reviewer Team at CareCore… Beyond.com

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