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3 Jobs

  • Medical Claim Review Nurse Remote with MI RN License

    United States
    ... to providers. **We are seeking a Registered Nurse with Appeals or claim review knowledge. Must ... /Appeals. Provides training and support to clinical peers. Identifies and refers members with ...
  • Medical Claim Review Nurse (RN)

    United States
    ... **We are seeking a REGISTERED NURSE (RN) Medical Claims Review Nurse. Excellent computer skills ... /Appeals. Provides training and support to clinical peers. Identifies and refers members with ...
  • Care Review Clinician, Inpatient Review (RN) - Must live in Nebraska

    Omaha, Nebraska
    ... JOB DESCRIPTION For this position we are seeking a (RN) Registered Nurse who resides in ... with our Nebraska Medicaid Health Plan. Strong experience with appeals reviews and/or utilization ...