• BlueCross BlueShield of South Carolina (Columbia, SC)
    …providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and ... have unacceptable denial rates and/or error rates under the medical review program. Conducts coverage and documentation...active compact multistate LPN license as defined by the Nurse Licensure Compact (NLC), OR active RN more
    Upward (07/17/25)
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  • BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …an 18 month commitment before posting for other internal positions. Job Qualifications License Registered Nurse ( RN ) with active license in the state of ... language specifically symptom-driven, treatment driven, look back periods, rider information and medical policy/ medical review criteria BBEX 10 AEP Number… more
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  • HCA Healthcare (Wichita, KS)
    …Required Registration, Licensure or Certification Current Licensure in the State of Kansas as a Registered Nurse ( RN ) or Current Multi-State Licensure as a ... of nursing care and practice as defined by Wesley Medical Center and the Kansas Nurse Practice...career path, we encourage you to apply for our Registered Nurse Postpartum opening. We review more
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  • Berkshire Hathaway Homestate Companies (Omaha, NE)
    …staff, and attorneys. Act as a medical resource in regards to utilization review to Claims Support Nurse , Bill Review , and Claims department. Foster ... relationship with other Company staff, including the claims staff, medical bill review , claims support nurse...and Education: Bachelor of Science Nursing degree (BSN), or Registered Nursing degree ( RN ) from four-year college… more
    Upward (07/03/25)
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  • Geisinger (Scranton, PA)
    Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN ... from Specialty Training Program-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic… more
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  • Medical Solutions (Omaha, NE)
    Ready to Plant Roots? This Permanent Case Management (Utilization Review )/ RN ( Registered Nurse ) Position in White Plains, NY Has Your Name on It! A ... facility is looking for a dedicated Case Management (Utilization Review )/ RN ( Registered Nurse )...might be the opportunity you've been waiting for. At Medical Solutions, we know this isn't just a job-it's… more
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  • Geisinger (Wilkes Barre, PA)
    Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - ... Summary Geisinger is proud to offer a Graduate Inpatient RN up to $21,000 hiring incentive for eligible candidates!...entire first year as a GN! Job Description: The Registered Nurse assesses plans, organizes, performs, and… more
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  • Cooper University Hospital (Camden, NJ)
    …, coding or health care auditing. Education Requirements Graduate of Accredited Registered Nurse program License/Certification Requirements Current New Jersey ... South Jersey. Short Description Responsible for timely completion of medical record reviews for charge integrity. Hospital bills are...Registered Nurse License Special Requirements Proficiency in Microsoft Excel, Word… more
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  • Helio Health (Syracuse, NY)
    …other behavioral healthcare issues. In order to support our mission, Helio Health is seeking a Registered Nurse ( RN ) to work on a Full-Time basis for our ... Meadows Outpatient Program . The Registered Nurse ( RN ) will provide...referrals for medical services. Develop, recommend, and review medical policies and procedures for all… more
    Upward (07/20/25)
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  • Banner Health (Mesa, AZ)
    …(code events and internal disasters), and patient transports. In your role as a Registered Nurse with Transport , you will transport cardiac monitored patients ... that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as...care setting within the past 12 months as a Registered Nurse in the specialty area. Banner… more
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  • Medical Solutions (Omaha, NE)
    …facility in Santa Ana, CA is seeking its next amazing RN ( Registered Nurse ) to work in Case Management (Utilization Review ). Read on if this sounds like ... and build an amazing resume. When you work with Medical Solutions, we've got your back 100% - starting...Traveler discount program Free employee assistance program (EAP) Day-one medical , dental, and vision insurance 24/7 customer care Voluntary… more
    Upward (07/21/25)
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  • HCA Healthcare (Kansas City, MO)
    Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse RN Neuro ICU and access programs to assist with every ... gain certifications and job skills. Apply today for our Registered Nurse RN Neuro ICU...RN Neuro ICU opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
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  • Inova (Falls Church, VA)
    Job Description Inova Fairfax Medical Campus is looking for a dedicated Registered Nurse ( RN ) Intermediate Cardiac Care Unit to join the team. This role ... community we have the privilege to serve! Inova Fairfax Medical Center Cardiac, Vascular and Pulmonary Care Program is...therapy sessions, per person, per year, at no cost. Registered Nurse ( RN ) - Intermediate… more
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  • HCA Healthcare (Largo, FL)
    …our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse RN Float Pool-Specialty to join our healthcare family. ... their passion for patient care. Apply today for our Registered Nurse RN Float Pool-Specialty...Certified Cardiac / Vascular Nurse , Board Certified Medical -Surgical Registered Nurse , or Certified… more
    Upward (07/17/25)
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  • Team Select Home Care (West Palm Beach, FL)
    …more heart, more flexibility, and more purpose? Join Team Select Home Care as a Registered Nurse ( RN ), where you'll bring comfort and confidence to families ... and start your next chapter with Team Select! A Registered Nurse ( RN ) administers skilled...Plan and the Compliance Plan Participates in clinical record/utilization review of medical records and quality assurance… more
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  • Henry Ford Health System (Grand Blanc, MI)
    …) nursing program; must possess current Michigan licensure to practice as a registered nurse ( RN ). Essential Functions: Interpersonal skills necessary in ... Registered Nurse - Float Team Sign...and tests ordered are expeditiously carried out and documented. Review patient medical record/reports and confers with… more
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  • Inova (Falls Church, VA)
    …Balance: offering paid time off, paid parental leave, and flexible work schedules Registered Nurse ( RN ) - Acute Pulmonary Job Responsibilities: Performs ... Inova Fairfax Hospital is looking for a dedicated Experienced Registered Nurse to join the Acute Pulmonary...weekend shifts in a 6-week period. We honor our RN 'S for providing world-class healthcare-every time, every touch- to… more
    Upward (07/23/25)
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  • Mary Washington Healthcare (Fredericksburg, VA)
    …data management and analysis, and other required software. Must be skilled in medical record review using established abstraction guidelines. Must possess clear ... levels. Abstracts and organizes data obtained from concurrent and retrospective chart review of thoracic surgery patient subsets. Inputs data into the national… more
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  • Lifepoint Health (Hickory, NC)
    Description Registered Nurse ( RN ), Bariatric Surgery Part time days Your experience matters At Frye Regional Medical Center, we are driven by a profound ... as an employee, but as a person. As a registered nurse ( RN ) joining our...surgery, surgery details and follow up care) Reviews incoming medical records Monthly chart review Active participant… more
    Upward (07/23/25)
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  • HCA Healthcare (Overland Park, KS)
    …satisfaction and personal growth, we encourage you to apply for our Registered Nurse RN opening. We promptly review all applications. Highly qualified ... We care like family! Jump-start your career as a Registered Nurse RN today with...our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no… more
    Upward (07/18/25)
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