Medical Review Nurse Jobs
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Search Results - Medical Review Nurse Jobs
WPS Health Solutions-Madison
Newsroom - Awards and Recognition (https://www.wpshealthsolutions.com/news/?c=awards)
Role Snapshot
The Medical Review Nurse Analyst is a work-from-home position that will review medical documentation submitted to Medicare to ensure...
shirecareers.jobs -
W3R Consulting-Chicago
Requirements:
Active Nursing License with two (2) years of related work experience
Must have previous medical record / quality review experience; HEDIS/STARS preferred
Must be proficient in Microsoft Office (Word, Excel, Outlook, and PowerPoint...
jobvertise.com -
Medical Group Alaska-Fairfax (VA)
Maintains a solid understanding of the specific contract’s guidelines, requirements, and addendums.
• Collaborates with exam management team of Physicians, Medical Review Nurses, and Program Managers for efficient processing of medical determinations...
W3R Consulting-Tulsa
Perform medical record reviews to support improvement and compliance, abstract HEDIS data, to include over-read of reviews, working collaboratively with internal HEDIS STARs Team and the Quality Team.
Perform administrative functions to include...
jobvertise.com -
Medical Group Alaska-Fairfax (VA)
team of Physicians, Medical Review Nurses, and Program Managers for efficient processing of medical determinations
• Communicates exam results and provides medical determinations to clients in support of clients’ occupational health business needs...
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