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  4 days ago

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  Clinical Review Nurse

  1 week ago

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  Nurse Reviewer Position

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  Utilization Review Nurse

  4 weeks ago

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  Clinical Review Nurse I

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  Atlanta, Georgia, United States Elevance Health Full time

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  Utilization Review Nurse

  4 weeks ago

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  Atlanta, United States Sonder Health Plans, Inc. Full time

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  Medical Director

  1 week ago

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  2 weeks ago

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  Atlanta, Georgia, United States ICONMA Full time

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  Nurse Reviewer

  2 months ago

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  Atlanta, United States Zelis Full time

  Position OverviewThe Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. Conduct review of facility and outpatient bills as it compares with medical records...

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  Nurse Reviewer

  4 weeks ago

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  Atlanta, United States Zelis Full time

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  Utilization Review Nurse Specialist

  3 weeks ago

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  Atlanta, Georgia, United States Sonder Health Plans Full time

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  Quality Assurance Nurse Reviewer

  4 weeks ago

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  Atlanta, Georgia, United States Spectraforce Technologies Inc Full time

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  Utilization Review Nurse Specialist

  4 weeks ago

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  Atlanta, Georgia, United States Children's Healthcare of Atlanta Full time

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  Clinical Review Nurse

  2 weeks ago

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  Atlanta, Georgia, United States Axelon Services Corporation Full time

  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...

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  Clinical - Clinical Review Nurse - Prior Authorization

  2 weeks ago

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  Atlanta, United States Axelon Services Corporation Full time

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  Commercial Reviewer

  2 weeks ago

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  Atlanta, Georgia, United States MountainSeed Appraisal Management LLC Full time

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  RN Inpatient Utilization Reviewer

  4 weeks ago

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  Atlanta, Georgia, United States Health eCareers Full time

  Job Summary:We are seeking a skilled RN Inpatient Utilization Reviewer to join our team at Health eCareers. As a key member of our healthcare team, you will be responsible for carrying out utilization review, quality review, and discharge planning for inpatient admissions at facilities without QRM review staff onsite.Key Responsibilities:Conduct telephonic...