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...
4 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.
4 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...
4 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.
7 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.
11 days ago, source: Careerjet
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...
6 days ago, source: Careerjet
Nurse Reviewer I (Nclex)
Elevance Health - San JuanAnticipated End Date: 2025-08-13 Position Title: Nurse Reviewer I (Nclex) Job Description: A proud member of the... delivery organization, providing information technology and business operations services for health plans. Nurse Reviewer...
7 days ago, source: Careerjet
Assistant Nurse Manager, Utilization Review
Kaiser Permanente - Mare IslandJob Summary: In addition to the responsibilities below, this position is also responsible for assisting the implementation of best practice models; assisting the implementation of patient care delivery systems and practice standards in several ...
1 day ago, source: adzuna
Healthcare Utilization Review Nurse Navigator (Hiring Immediately)
Elliot Health System - ManchesterRN Utilization Review Who We Are: Elliot Health Systems Care Coordination Department, located in Manchester, NH, plays a vital role in ensuring seamless, patient-centered care across the healthcare continuum. Our team is dedicated to care management,
2 days ago, source: adzuna
▷ 3 Days Left! Travel Utilization Review Nurse - $2,889 per week
Assured Nursing - Santa BarbaraAssured Nursing 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:07/28/2025 - Duration:13 weeks - 40 hours per
1 day ago, source: adzuna
