Medical Review Nurse

Job Summary:Piedmont is seeking a highly skilled Clinical Appeals Specialist to join our team. As a Clinical Appeals Specialist, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key Responsibilities:Conduct detailed reviews of patient medical...

Job SummaryPiedmont Healthcare Corporate is seeking a skilled Clinical Appeals Specialist to join our team. As a key member of our appeals process, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key ResponsibilitiesConduct detailed reviews of...

About the Role:Piedmont Healthcare Corporate is seeking a skilled Clinical Appeals Specialist to join our team. As a key member of our appeals process, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key Responsibilities:Conduct detailed...

Job Title: HEDIS Nurse Abstractor SpecialistJob Summary:Spectraforce Technologies is seeking a highly skilled HEDIS Nurse Abstractor Specialist to join our team. As a HEDIS Nurse Abstractor Specialist, you will be responsible for reviewing medical records, abstracting pertinent data, and entering it into a specified database to support HEDIS reporting.Key...

Job Opportunity: Medical Review Nurse - RNAbout the Role:We are seeking a talented Medical Review Nurse - RN to join our team at Pyramid Consulting, Inc. This is a 02+ Months Contract opportunity with long-term potential.Key Responsibilities:Conduct thorough medical reviews of patient records to ensure accuracy and qualityCollaborate with healthcare...

Job Title: Nurse Reviewer IZelis is seeking a highly skilled Nurse Reviewer I to join our team. As a key member of our revenue cycle team, you will be responsible for conducting thorough reviews of healthcare claims to ensure accuracy and compliance with industry guidelines.Key Responsibilities:Conduct in-depth reviews of healthcare claims to identify...

Job Summary:Spectraforce Technologies Inc is seeking a highly skilled Quality Assurance Nurse Reviewer to join our team. As a Quality Assurance Nurse Reviewer, you will play a critical role in ensuring the accuracy and quality of medical records data.Key Responsibilities:Conduct quality assurance reviews of medical records to validate abstracted data and...

Job Title: Utilization Review NurseAt Sonder Health Plans, we are seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that healthcare services are administered with quality, cost efficiency, and within compliance.Key Responsibilities:Conduct concurrent reviews of member...

Job SummaryZelis is seeking a skilled Nurse Reviewer I to join our team. As a key member of our revenue cycle team, you will be responsible for conducting thorough reviews of healthcare claims to ensure accuracy and compliance with industry guidelines.Key ResponsibilitiesConduct in-depth reviews of healthcare claims to identify potential errors or...

Job SummaryZelis is seeking a skilled Nurse Reviewer I to join our team. As a key member of our revenue cycle team, you will be responsible for conducting thorough reviews of healthcare claims to ensure accuracy and compliance with industry guidelines.Key ResponsibilitiesConduct in-depth reviews of healthcare claims to identify potential errors or...

Job SummaryZelis is seeking a skilled Nurse Reviewer I to join our team. As a key member of our healthcare financial experience team, you will play a critical role in modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers.Key...

Job SummaryZelis is seeking a skilled Nurse Reviewer I to join our team. As a key member of our healthcare financial experience team, you will play a critical role in modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers.Key...

Job Title: Quality Assurance Nurse ReviewerJob Description:The Quality Assurance Nurse Reviewer will work under the direction of the HEDIS Quality Assurance Team Lead and other company personnel to perform quality assurance reviews on medical records.The candidate will validate abstracted medical record data and enter findings electronically into a specified...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Children's Healthcare of Atlanta. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive the most appropriate level of care while minimizing unnecessary costs.Key ResponsibilitiesConduct pre-screening assessments of prospective patients to...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Children's Healthcare of Atlanta. As a key member of our multidisciplinary team, you will play a critical role in ensuring the efficient and effective delivery of healthcare services to our patients.ResponsibilitiesParticipate in pre-screening assessments of prospective patients...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Children's Healthcare of Atlanta. As a key member of our multidisciplinary team, you will play a critical role in ensuring the efficient and effective delivery of healthcare services to our patients.ResponsibilitiesParticipate in pre-screening assessments of prospective patients...

About the RoleAs a Utilization Review Nurse at Sidecar Health, you will play a critical role in evaluating the medical necessity and quality of healthcare services for our members. This involves reviewing medical records, ensuring compliance with established clinical guidelines and policies, and collaborating with healthcare providers to gather additional...

Job Description:The Utilization Review Nurse role at Sonder Health Plans is a critical position that ensures healthcare services are administered with quality, cost efficiency, and within compliance.Key Responsibilities:Conduct concurrent reviews of members' clinical information to ensure efficiency and effectiveness of care.Review preauthorization requests...

Job Description:The Clinical Review Specialist role at Sonder Health Plans is to ensure that healthcare services are administered with quality, cost efficiency, and within compliance.By continuously reviewing and auditing member treatment records, the Clinical Review Specialist will ensure members do not receive unnecessary procedures, ineffective treatment,...

Travel Nursing Opportunity with FlexCare Medical StaffingWe are seeking an experienced Medical Surgical Registered Nurse for a travel nursing assignment in Atlanta, GA.Job DetailsShift: 3x12 hour nightsStart Date: 09/23/2024Duration: 13 weeksPay: Competitive weekly rateAs a travel nurse with FlexCare Medical Staffing, you will have access to a robust...