A company is looking for a Medical Claims Review Nurse.Key Responsibilities : Reviewing medical patient records against standard medical criteriaPerforming clinical / medical reviews of retrospective medical claim reviews, medical claims, and previously denied casesIdentifying and reporting quality of care issues and serving as a clinical resource for various stakeholdersRequired Qualifications, Training, and Education : Three years of clinical appeals experienceOne year of utilization review experienceDRG experience on resume preferred for interview considerationBSN preferred for educationActive, unrestricted State Registered Nursing (RN) license in good standing required
Medical Claims Review Nurse
Key Responsibilities:Perform clinical reviews of medical claims to ensure medical necessity and appropriate billingDocument clinical review summaries and findings in the databaseServe as a clinical resource for Utilization Management and provide training to peersRequired Qualifications:Graduate from...
Travel Nurse - Registered Nurse - Oncology - $2143 / Week
Meda Health is seeking an experienced Oncology Registered Nurse for an exciting Travel Nursing job in Richmond, VA. ...
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Travel Nurse - Registered Nurse - SDU - Stepdown Unit - $1836.89 / Week
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NurseStat is looking for a Long Term (Travel) PCU - Step Down RN in. We offer competitive pay for any Nurse and LPN referrals that we can put to work for us!. ...
Travel Registered Nurse - ICU/Critical Care - $1,958 to $2,164 / week
Our Client is currently seeking ICU for positions in Richmond, VA for a 3x12 Rotating shift.The ideal candidate will possess a current VA license or Compact license Depending on the state.You must have a License and at least 1 years of recent experience as a ICU.South or North of this range dependin...
Travel Nurse RN - Case Manager - $2,086 to $2,239 per week in Richmond, VA
TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Richmond, Virginia, 23225!. You learn to effectively communicate with colleagues, patients, and families from different backgrounds. ...
Travel Registered Nurse - Rehab - $2,156 / week
Travel Nursing: Rehabilitation Winchester.Location: Winchester.Start Date: 6/24/2024.Shift Details: 10H Days (7:00 AM-5:30 PM).Length: 13 WEEKS 13 weeks.Apply for specific facility details....
Internal Travel Registered Nurse For Virginia
INTERNAL TRAVEL REGISTERED NURSE FOR VIRGINIA. Internal Travel Registered Nurse - Home Health. Registered Nurse RN Home Health. At Home Care & Hospice is seeking an Internal Travel Nurse (W2 employee) to join our team. ...
RN Case Manager (Remote & Field)
Job Title: Nurse Case Manager (RN). Keywords: Registered Nurse, RN, Home Health, Hospice, Long Term Care, Long Term Nursing, Case Manager, patient education, patient care, CPR, critical care, acute care, chronic, Oasis, public health, communication, education, hospital, ER, Emergency room, ED, Emerg...