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Rn medical record review Jobs

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  • 3.1
    MRO (PA) – Mesa, AZ
    EASY APPLY
    27 days ago 27d
    read from the record. Log medical record requests into MRO database. Determine records to be released by reviewing requestor information… patient medical records. Responsibilities Respond to phone calls from medical and support personnel requesting medical records…
  • 3.0
    AspenPointe – Colorado Springs, CO
    8 days ago 8d
    documents in medical records. Provides internal/external customer service to providers in response to their medical records needs. Fulfills… Auto req ID 773BR Posting Title Medical Records Specialist (Various Locations) Location Various locations Req Type Non-Exempt…
  • 3.5
    Rising Medical Solutions – Chicago, IL
    Est. Salary $59k-$77k
    4 days ago 4d
    and pre-clinical reviewers) Perform all aspects of the Utilization Review Process when needed (review records and requests for… Rising Medical Solutions is looking for a talented Registered Nurse to supervise our Utilization Review team. If you’re interested…
  • 3.9
    Memorial Hermann Healthcare – Houston, TX
    16 days ago 16d
    flags cases for review by the Appeals & Outcomes Coordinator Conducts medical research in order to assist the Medical Director and… will also coordinate pended cases for a review determination with Health Solutions Medical Director, coordinate pre-authorization…
  • 3.8
    Equian LLC – Montgomery, AL
    8 days ago 8d
    completion of medical record audits. Responsible for meeting turn-around time of 1-2 days for each record given for audit/review.… in professional organizations and self-study. Reviews entire medical record documentation against itemized list of billed charges…
  • 3.0
    Wilson Elser – White Plains, NY
    12 days ago 12d
    Qualifications RN with 3+ years of intensive care experience 2+ years experience reviewing medical records for law firms or… and oral communication skills Demonstrated proficiency in medical and damages analyses Strong attention to detail Ability…
  • 4.1
    Zelis Healthcare – Bedminster, NJ
    28 days ago 28d
    to medical record review, overall claim review, etc. • Assist with the Claims Selection Process for audit. • Review Medical… Policies and Coverage Determinations • Review itemized bill and medical records for medical appropriateness and inconsistencies by…
  • 3.4
    Healthcare Scouts – Baltimore, MD
    EASY APPLY
    4 days ago 4d
    retrospective reviews as well as discharge planning to patients. REQUIREMENTS: Ideal candidates for the Utilization Review Nurse… Actively seeking a Utilization Review Nurse to join a leading Healthcare Facility as part of the Utilization Management Team.…
  • 3.6
    AbbVie – Waukegan, IL
    21 days ago 21d
    The Manager, US Medical Review is responsible for performing the accurate and detailed medical review of complex advertising… training in Medical Communications or related Medical Affairs experience preferred. 2 years of affiliate Medical Review experience…
  • 3.6
    AbbVie – Waukegan, IL
    26 days ago 26d
    Senior Manager, Global Medical Review is responsible for performing the accurate and detailed medical review of complex advertising… training in Medical Communications or related Medical Affairs experience preferred. 4 years of affiliate Medical Review experience…
  • 3.6
    Travelers Companies – Buffalo, NY
    7 days ago 7d
    supervision, conduct in-house utilization review with emphasis on determining medical necessity for prospective, concurrent, retrospective… injury and for adhering to multi-jurisdictional Utilization Review criteria. This job does not manage others This job works under…
  • 3.7
    Kelly Consultants – Denver, CO
    Est. Salary $57k-$77k
    30+ days ago 30d+
    especially the CCS. The RN Reviewer should have a minimum of 3-5 years of Hospital/Clinical experience including: medical/surgical, OR,… for reviewing and analyzing Medical Records and Hospital Bills. The Registered Nurse Reviewer will have excellent line by…
  • 3.1
    MRO (PA) – Layton, UT
    EASY APPLY
    15 days ago 15d
    read from the record. Log medical record requests into MRO database. Determine records to be released by reviewing requestor information… patient medical records. Responsibilities Respond to phone calls from medical and support personnel requesting medical records…
  • 3.3
    Johns Hopkins Health Care – Glen Burnie, MD
    Est. Salary $58k-$78k
    10 days ago 10d
    established medical criteria for medical necessity and renders a determination within his/her scope of practice. The Medical Review URN… leaders and innovators in the healthcare field. The Medical Review URN is responsible to processing authorization requests…
  • 3.4
    Dignity Health – Sacramento, CA
    Est. Salary $93k-$125k
    19 days ago 19d
    navigate various electronic medical record formats is required. The role requires knowledge of RN scope of practice, current… Medical Review RN Position Summary: The primary function of this role is remote response to Dignity Health hospitals to…
  • 3.1
    MRO (PA) – Schenectady, NY
    EASY APPLY
    5 days ago 5d
    read from the record. Log medical record requests into MRO database. Determine records to be released by reviewing requestor information… patient medical records. Responsibilities Respond to phone calls from medical and support personnel requesting medical records…
  • 3.3
    Johns Hopkins Health Care – Glen Burnie, MD
    17 days ago 17d
    Current RN licensure in the State of Maryland Work requires knowledge of the health field and pre-authorization review with two… in the healthcare field. Reports to the Outpatient Medical Review Manager and is responsible for daily operations of pre-service…
  • 4.4
    Insight Global – Franklin, TN
    17 days ago 17d
    management Licensed Practical Nurse (LPN) or Registered Nurse (RN) Must be flexible with Understanding of Post-Acute Care Evidence… This position will NOT be treating patients or distributing medication. The Registered Nurse will perform clinical and operational…
  • 3.6
    Medix – Phoenix, AZ
    20 days ago 20d
    Performing chart audits for medical necessity and conducting retro claim reviews. - Must be a Registered Nurse or Licensed Practical… Nurse • Must have one of the following: utilization review, retrospective review, retro claims, claims, appeals • Must have InterQual…
  • AMI Network – San Fernando, CA
    Est. Salary $70k-$94k
    26 days ago 26d
    completed in the patient’s medical record in accordance with nursing standards and policies. Receives and reviews physician’s orders;… fastest growing Medical Groups in Southern California in their search for a full-time Nurse Case Manager (RN or LVN) to join their…
  • 2.7
    Corvel – Central Islip, NY
    25 days ago 25d
    utilization review. ESSENTIAL JOB DUTIES The Utilization Review Nurse must identify the necessity of the review process and… literate. PREFERRED EDUCATION/TRAINING The Utilization Review Nurse should have a minimum of an Associate Degree in Nursing…
  • 3.5
    Florida Blue – Jacksonville, FL
    15 days ago 15d
    including medical review, prior authorization or appeals, with experience utilizing established criteria to make medical review determinations… Job Summary The Medical Review Nurse LPN reviews, authorizes, coordinates, and responds to requests for services for Florida…
  • Carolina Legal Associates – Columbia, SC
    15 days ago 15d
    Well Established Law Firm in Columbia, SC looking for a Legal Nurse Consultant. This position is full time and permanent.…
  • 3.6
    Medix – Phoenix, AZ
    20 days ago 20d
    and outpatient claims Must be able to do medical necessity appeals Utilization Review experieince required Knowledge of criteria… quarterly and yearly reports of audit activities Auditing medical charts Sending out accounts for appeal Dealing with charge…
  • 4.2
    CareNational Healthcare Services – Buffalo, NY
    Est. Salary $51k-$68k
    28 days ago 28d
    / medical record review. Knowledge of guidelines for Medicaid/Medicare and related state programs is required. Knowledge of InterQual… Utilization Review Nurse (RN, BSN) - Hospital Buffalo, NY Job Summary: The Utilization Review Nurse is responsible for…
  • 2.8
    Compassus – Antioch, CA
    30+ days ago 30d+
    Completes non-routine compliance reviews as requested. Records findings. Communicates findings with the SVP of Clinical Services, Regional… Performs routine and non-routine compliance reviews. Completes routine compliance chart reviews as requested every month. Completes…
  • 3.8
    Special Counsel – Charlotte, NC
    19 days ago 19d
    Nurse Consultant Job Responsibilities: • Reviewing medical records and drafting medical chronologies • Analyzing and summarizing… Performing legal and medical research and preparing memoranda • Corresponding with attorneys, clients, and medical personnel Qualifications…
  • 2.6
    CGS Administrators, LLC – Nashville, TN
    Est. Salary $65k-$88k
    30+ days ago 30d+
    hospice Medicare claims that have been deferred for medical necessity review. Ensures compliance with nationally recognized standards… instructions Knowledge of system processing procedures for medical review. Required Skills and Abilities Excellent verbal…
  • 3.1
    Cambia Health Solutions – Tacoma, WA
    18 days ago 18d
    ensure compliance with medical policy. Demonstrated knowledge in reading and interpreting medical records and patient data with… competency in claim review and experience in using billing and claims forms (UB, CMS, and HCFA). Proven knowledge of medical and surgical…
  • 3.8
    University Medical Center of El Paso – El Paso, TX
    30+ days ago 30d+
    This position entails reviewing and reconciling hospital claims, performing pre-audits on all accounts scheduled for defense audits… experience related to coding, charge documentation, auditing and medical terminology preferred. B. License/Registration/Certification…
  • 4.6
    Healthcare Support – Milwaukee, WI
    Est. Salary $52k-$70k
    13 days ago 13d
    experienced RN HEDIS Medical Record Review Nurse looking for a new opportunity with a prestigious healthcare company as a RN HEDIS Medical… answered yes" to any of these questions this is the RN HEDIS Medical Record Review Nurse position for you! Company Job Description…
Job Title Location Employer Salary
ROI Medical Records Specialist Mesa, AZ MRO (PA) $28k-$43k
Medical Records Specialist Colorado Springs, CO AspenPointe $24k-$37k
Utilization Review Nurse Supervisor Chicago, IL Rising Medical Solutions $59k-$77k
Utilization Review Nurse -1 Houston, TX Memorial Hermann Healthcare $108k-$186k
Nurse Auditor Montgomery, AL Equian LLC $38k-$63k
Legal Nurse Consultant (part-time) White Plains, NY Wilson Elser $49k-$86k
Nurse Auditor Bedminster, NJ Zelis Healthcare $42k-$76k
Manager, Medical Review Waukegan, IL AbbVie $163k-$277k
Senior Manager, Global Medical Review Waukegan, IL AbbVie $182k-$306k
Utilization Review Nurse - Workers Compensation Buffalo, NY Travelers Companies $46k-$59k
Registered Nurse Reviewer for Medical Records and Hospital Bills Denver, CO Kelly Consultants $57k-$77k
ROI Medical Records Specialist - Float Layton, UT MRO (PA) $31k-$49k
Authorization Medical Review RN Glen Burnie, MD Johns Hopkins Health Care $58k-$78k
Medical Review RN Sacramento, CA Dignity Health $93k-$125k
ROI Medical Records Specialist - Part Time Schenectady, NY MRO (PA) $21k-$40k
Intake and Medical Review Supervisor Glen Burnie, MD Johns Hopkins Health Care $117k-$202k
Utilization Review Nurse Franklin, TN Insight Global $94k-$160k
Utilization Review Nurse Phoenix, AZ Medix $96k-$164k
Utilization Review Nurse Case Manager (RN or LVN) San Fernando, CA AMI Network $70k-$94k
Utilization Review Nurse Central Islip, NY Corvel $111k-$191k
FEP Medical Review Nurse LPN Jacksonville, FL Florida Blue $39k-$52k
Legal Nurse Consultant Columbia, SC Carolina Legal Associates $40k-$78k
Nurse Auditor Phoenix, AZ Medix $39k-$66k
Buffalo Utilization Review Nurse (RN, BSN) - Hospital Buffalo, NY CareNational Healthcare Services $51k-$68k
Medical Review Nurse - Hospice Antioch, CA Compassus $49k-$66k
Legal Nurse Consultant Charlotte, NC Special Counsel $51k-$95k
Medical Review Manager (Registered Nurse) -13013BR Nashville, TN CGS Administrators, LLC $65k-$88k
Nurse Auditor Tacoma, WA Cambia Health Solutions $53k-$87k
Nurse Auditor El Paso, TX University Medical Center of El Paso $34k-$56k
HEDIS RN Milwaukee, WI Healthcare Support $52k-$70k
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