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...
6 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.
6 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...
6 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.
13 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
2 days ago, source: adzuna
Apply in 3 Minutes! Travel Utilization Review Nurse II
Host Healthcare - BakersfieldJob Description Host Healthcare is seeking a travel nurse RN Case Manager, Acute Care for a travel nursing job in Bakersfield, California.
8 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...
37 days ago, source: Careerjet
Registered Nurse Navigator Home Health Review-Home Health
Christus Health - IrvingDescription Summary: The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS criteria for services. They are a member of the patient’s care team and act as a patient advocate, providing proactive
2 days ago, source: adzuna
