Nurse reviewer jobs

Special Programs CCS Manager, Nurse Reviewer

Maren Medical Group - Fresno
Job Description Job Description La Salle Medical Associates IPA (Maren) is searching for a highly qualified, engaging, team oriented and passionate professional who has experience with California's Children's Service (CCS) program, we hope to hear ...
10 days ago, source: adzuna

Nursing Facility Resolution Reviewer (RN req'd)

ISLAND PEER REVIEW CORP - Albany
Job Description Job Description Based in Albany, in this role you will be primarily responsible for the day-to-day case management of nursing facility quality of care complaints working at the direction of the New York State Department of Health ...
1 day ago, source: adzuna

Nurse Reviewer I

Elevance Health - Chicago
Anticipated 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...
1 day ago, source: Careerjet

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...
2 days ago, source: Careerjet

Registered Nurse Senior Medical Reviewer (Medicare Part B Appeals) - CGS

BlueCross BlueShield Of South Carolina - Tennessee
Summary 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.
2 days ago, source: Careerjet

Clinical Nurse Reviewer

Trinity Health - Saint Joseph
one in there says HMS and needs to state MSQC. Posting Job Description Posting Job Description The Clinical Nurse Reviewer... of all eligible cases for the hospital. The Clinical Nurse Reviewer also works closely with the physician champion and
2 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.
5 days ago, source: Careerjet

Clinical Reviewer, Nurse - 9am -6pm PST

Evolent Health - USA
are 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.
10 days ago, source: Careerjet

Clinical Quality Nurse Reviewer, Sr. Specialist- Remote

Gainwell Technologies - Florida
Nurse 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...
16 days ago, source: Careerjet

Registered Nurse / Med/Surg (Tier 3) / VA Reviewer

Greenlife Healthcare Staffing - New York City
Job 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...
33 days ago, source: Careerjet

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