Compliance & Safety Check Nurse/Reviewer (Medicaid Health Systems Specialist - RN)
Medicaid - Franklin County. As a Compliance & Safety Check Nurse/Reviewer in the Bureau of Clinical Operations, Ohio Department of Medicaid (ODM... and Safety Check Nurse/Reviewer, you will be required to possess a current and valid license to practice professional Nursing...
5 days ago, source: Careerjet
Registered Nurse Senior Medical Reviewer (Medicare Part B Appeals) - CGS
BlueCross BlueShield Of South Carolina - TennesseeSummary We are currently hiring for a Registered Nurse Senior Medical Reviewer to join CGS, a Celerian Group Company... and a private home office space. What You Will Do: Functions as team leader/senior-level Medical Reviewer.
5 days ago, source: Careerjet
Nurse Reviewer I
Elevance Health - ChicagoAnticipated End Date: 2025-08-17 Position Title: Nurse Reviewer I Job Description: Nurse Reviewer I Location... essential face-to-face onboarding and skill development. The Nurse Reviewer I will be responsible for conducting...
5 days ago, source: Careerjet
New Admissions Nurse Reviewer
City of New York - New York City. The New Admissions Focused (NAF) Nurse Reviewer will be responsible for: 1. Scheduling and conducting NAF medical audits... has been the subject of a child abuse and maltreatment report. STAFF NURSE - 50910 Qualifications 1.
8 days ago, source: Careerjet
Clinical Reviewer, Nurse - 9am -6pm PST
Evolent Health - USAare core to our business. Join Evolent for the mission. Stay for the culture. What You’ll Be Doing: The Nurse Reviewer... (Required): Registered Nurse or Licensed Practical/Vocational Nurse with a current, unrestricted license.
12 days ago, source: Careerjet
Clinical Quality Nurse Reviewer, Sr. Specialist- Remote
Gainwell Technologies - FloridaNurse Reviewer, Sr. Specialist who is responsible for performing on-going quality assurance audits of the work performed... RN license as defined by the Nurse Licensure Compact (NLC), required 5+ years clinical experience in acute setting 3...
19 days ago, source: Careerjet
Travel Utilization Review Nurse - $3,034 per week (Urgent Search)
LeaderStat - Santa BarbaraLeaderStat is seeking a travel nurse RN Case Management for a travel nursing job in Santa Barbara, California. Job Description & Requirements - Specialty:Case Management - Discipline:RN - Start Date:08/25/2025 - Duration:13 weeks - 40 hours per week
1 day ago, source: adzuna
Travel Utilization Review Nurse - $2,807 per week
Host Healthcare - WashingtonHost Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Santa Barbara, California. Job Description & Requirements * Specialty: Case Management * Discipline: RN * Start Date: 08/18/2025 * Duration: 13 weeks * 40 hours
9 days ago, source: adzuna
Clinical Reviewer - LPN/LVN or RN (Remote U.S.)
Acentra Health, LLC - Indianais looking for a Clinical Reviewer - LPN/LVN (Remote U.S.) to join our growing team. Job Summary: Review medical records against criteria...
7 days ago, source: Careerjet
Registered Nurse / Med/Surg (Tier 3) / VA Reviewer
Greenlife Healthcare Staffing - New York CityJob Description: JOB TITLE (#25240): Registered Nurse / Med/Surg (Tier 3) / VA Reviewer - Remote Minimum of 5 years.... Position Overview: Greenlife Healthcare Staffing seeks an experienced Med/Surg RN for a remote VA Reviewer role...
35 days ago, source: Careerjet
