Nurse Reviewer Position

Adecco US, Inc. Job OpportunityAdecco US, Inc. is seeking a skilled Nurse Reviewer to join our team. This is a remote opportunity that offers a unique chance to work on a COC/SPD project and contribute to building out coding for benefit plans.Key Responsibilities:Determine which codes belong to the language in the benefit plansReview what peers have...

Job Summary: Zelis Healthcare is seeking a skilled Nurse Reviewer to join our team. As a key member of our revenue integrity team, you will be responsible for conducting thorough reviews of medical claims to ensure accuracy and compliance with regulatory guidelines.Key Responsibilities: Conduct in-depth reviews of medical claims to identify potential errors...

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 SummarySonder Health Plans is 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 ResponsibilitiesConduct thorough reviews of member treatment records to ensure medical...

Clinical Review Nurse Job DescriptionSpectraforce Technologies is seeking a skilled Clinical Review Nurse to join our team. As a Clinical Review Nurse, you will play a critical role in ensuring the quality and accuracy of medical necessity reviews.Key Responsibilities:Conduct thorough medical necessity reviews using clinical criteria and guidelinesDocument...

Clinical Review Nurse IWe are seeking a skilled Clinical Review Nurse I to join our team at Elevance Health. As a Clinical Review Nurse I, you will play a critical role in reviewing and making medical determinations on prior authorization requests to ensure that they meet the benefits carried by our members.Key Responsibilities:Assess the necessity and...

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...

Travel Nurse RN Job OpportunityWe are seeking a qualified Registered Nurse to join our team in Atlanta, Georgia. This is a 90-day assignment with a competitive pay rate of $2,259 per week.About the PositionThis is a perioperative RN position that requires the candidate to circulate in the OR. The shift is 3 - 12HR Nights, 19:00:00-07:00:00, 12.00-3. The...

Travel Nurse RN Position in Atlanta, GAWe are seeking a qualified Registered Nurse to join our team in Atlanta, GA. This is a 90-day assignment with a competitive pay rate of $2,521 per week.About the PositionLocation: Atlanta, GAShift: 4 - 10 HR Days, 08:00:00-18:00:00Duration: 90 daysThis is a great opportunity to work with a reputable healthcare staffing...

Travel Nurse RN OpportunityWe're working with QS Nurses to find a qualified Oncology RN in Atlanta, Georgia. This is a great opportunity to work with a reputable healthcare provider and gain valuable experience in oncology nursing.About the PositionQS Nurses is looking for a skilled and dedicated RN to join their team. As a travel nurse, you'll have the...

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...

Travel Nurse RN Job OpportunityWe're working with QS Nurses to find a qualified CVICU RN in Georgia. This is a great opportunity to work with a reputable healthcare provider and gain valuable experience in a critical care setting.About the PositionQS Nurses is a leading provider of travel and per diem services, with nearly 30 years of experience working with...

Travel Nurse RN Job OpportunityWe are working with QS Nurses to find a qualified Oncology RN in Atlanta, Georgia.Pay Information:$2,213 per weekAbout The Position:QS Nurses is looking for the best of the best. We provide personalized hands-on support throughout the process, ensuring an experience that's unmatched in travel healthcare.We offer competitive pay...

Travel Nurse RN OpportunityWe are working with QS Nurses to find a qualified Oncology RN in Atlanta, Georgia.Pay Information: $2,209 per weekAbout The Position: QS Nurses is looking for the best of the best. We're here to help you accomplish your goals and your dreams.Our Recruiters provide personalized hands-on support throughout the process. They'll...

Job Title: Oncology RN Travel NurseWe are seeking a qualified Oncology RN to join our team at Lancesoft Inc. in Atlanta, Georgia.Job Summary:This is a 12-hour night shift position with a duration of 90 days. The successful candidate will have experience in Oncology and be able to work independently.Responsibilities:Provide high-quality patient care in an...

About the PositionTravel Nurse Source is working with Atlas MedStaff to find a qualified PCU RN in Atlanta, Georgia. This 13-week contract offers a unique opportunity for a registered nurse to work in a dynamic environment.Pay InformationThe estimated compensation package for this position is $1,458 per week, inclusive of taxable hourly wage and expected...

About the PositionTravel Nurse Source is working with Atlas MedStaff to find a qualified Oncology RN in Atlanta, Georgia. This 13-week contract offers a unique opportunity for experienced nurses to work in a dynamic environment.Pay InformationThe estimated compensation package for this position is $1,514 per week, inclusive of taxable hourly wage and...

Job Title: Clinical Review Nurse - Prior AuthorizationAt Axelon Services Corporation, we are seeking a highly skilled Clinical Review Nurse to join our team. As a Clinical Review Nurse, you will play a critical role in ensuring the quality and cost-effectiveness of medical care for our members.Key Responsibilities:Analyze prior authorization requests to...

Job Summary:The Atlanta office of Hall Booth Smith, P.C. is seeking a skilled Legal Nurse Consultant to assist attorneys with medical aspects of litigation. This role requires regular attendance in the office and is not a remote position. The ideal candidate will have a RN Degree coupled with work experience in a clinical setting, with expertise in medical...

Job SummaryThis position reviews water mitigation estimates and invoices to control water mitigation costs on residential and commercial property claims. The role will be responsible for reviewing estimates and negotiating adjustments of losses with contractors, public adjusters, insurers, and attorneys. This position may present evidence in legal...