LoginRegister

Quality Review Nurse jobs in Maryland

Now available 21 results are consistent

Sort by:relevance - date

QUALITY REVIEW NURSE

Contributes to the achievement of established goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Completes annual Code of Conduct, Compliance, and other mandatory training...

CompanyMedstar Health
AddressMaryland, United States
CategoryManufacturing
Job typePart-time
Date Posted a month ago See detail

Quality Review Nurse

Medstar Health

Maryland, United States

Contributes to the achievement of established goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Completes annual Code of Conduct, Compliance, and other mandatory training...

a month ago seen See more...

Quality Nurse Consultant - San Francisco, United States - Kaiser New

Kaiser

United States

Consults on quality, risk management, patient safety, and infection prevention activities. Assists in quality management studies, data analysis, and report development. Organizes and coordinates project planning, training, and tec...

10 hours ago seen

Nurse Reviewer I - Chicago, United States - Elevance Health

Elevance Health

United States

Type: Full time. Date Posted: Apr 17, 202. Anticipated End Date: May 17, 2024. Reference: JR113707. Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical neces...

7 days ago seen See more...

Insurance Premium Auditor/Quality Reviewer (1099) - REMOTE

Sedgwick

Remote

$67K - $84.8K a year

Physical Ideal for complex or large accounts, test audit states, new businesses or businesses undergoing changes in operations or scope. Virtual Meets the requirements for a physical audit and offers a cost-effective option in...

4 weeks ago seen See more...

Clinical/Utilization Review Nurse

Aspirion Health Resources Llc

Remote

From $68,000 a year

Manages complex and robust queue according to Aspirion and client needs. Queue size varies weekly. Reviews insurance denials, including but not limited to, medical necessity denials, patient status denials (i.e., Inpatient vs. Out...

a month ago seen See more...

Utilization Review Nurse (RN)

Managed Resources, Inc

Remote

$38 - $42 an hour

401(k). 401(k) matching. Dental insurance. Disability insurance. Employee assistance program. Flexible spending account. Health insurance. Life insurance. Paid time off. Referral program. Vision insurance. Pet Insurance. Monthly I...

a month ago seen See more...

Fraud and Abuse Review Nurse

Gainwell Technologies Llc

Kansas, United States

$61,500 - $87,900 a year

Ability to interact with customers and agencies to interpret Medicaid coverage. Strong written/oral communication skills. Ability to read, understands, and interprets complex regulatory and procedural documents. Extensive PC skill...

a month ago seen See more...

Concurrent Review Nurse (Active CA RN License)

Zempleo Inc

California, United States

$55 - $62 an hour

100% remote role. Work Schedule: 8:00am 5:00pm Pacific Time. Ensures proper procedure and diagnosis codes are reviewed for submitted procedures/claims. Solicits support from SME's, leads, and managers as appropriate. Triages and...

a month ago seen See more...

Quality Nurse Consultant - Richmond, United States - Kaiser

Kaiser

United States

Acts as a consultant for quality, AR&L, risk, patient safety, and infection prevention activities and programs. Assists with quality management studies through data collection, data input and report development. Analyzes, interpre...

a month ago seen See more...

Professional Review Nurse

Corvel

Remote - Oregon, United States

Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager. Collect supporting data and analyze information to make decisions regardi...

a month ago seen See more...

Utilization Review Nurse- PRN

Netsmart Technologies

Remote

$77.6K - $98.3K a year

Review electronic medical records of emergency department admissions and screen for medical necessity, using InterQual or MCG criteria. Participate in telephonic discussions with emergency department physicians relative to documen...

a month ago seen See more...

Clinical Review Nurse

Novitas

United States

$51.1K - $64.7K a year

Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire. Short- and long-term disability benefits. 401(k) plan with company match and immediate vesting. Free teleh...

2 months ago seen See more...

HP Utilization Review Nurse

Point32Health

Remote

$92K - $116K a year

Provides all aspects of clinical decision making and support needed to perform utilization management, medical necessity determinations and benefit determinations using applicable coverage documents, purchased clinical guidelines...

2 months ago seen See more...

Utilization Review Nurse

Veritas Allies, Llc

Remote

$65.7K - $83.2K a year

401(k). Health insurance. 8 hour shift. Day shift. Monday to Friday. Utilization review: 1 year (Required). RN (Required)....

2 months ago seen See more...

Utilization Review Nurse - LTSS

Villagecare Of New York

Remote

$90,000 - $105,000 a year

Reviews planned, in process, or completed health care services to ensure medical necessity and effectiveness according to evidence-based criteria - prospective, concurrent and retrospective review. Frequently collaborates and comm...

2 months ago seen See more...

Quality Reviewer I

Crawford & Company

United States

$65.3K - $82.6K a year

Conducts thorough and accurate testing of claims before submission to clients. Claims are primary focused on personal lines and large national accounts with some limited commercial assignments. Reviews and verifies claims informat...

2 months ago seen See more...

Clinical Nurse Reviewer, Specialty Solutions

Clario

Remote

$74K - $93.7K a year

Reviewing study requirements and endpoint definitions and collaborates with key stakeholders to develop study start-up activities and associated documents for endpoint adjudication Assists the Clinical Endpoint Project Manager in...

a month ago seen See more...

Quality Assurance/Batch Reviewer

The Assurance Group

New Jersey, United States

$63.8K - $80.8K a year

401(k). Health insurance. Paid time off. 3 years. Monday to Friday. In-person. Manufacturing facility. Morris County, NJ: Relocate before starting work (Required)....

a month ago seen See more...

HR Quality Compliance Reviewer (3992)

Gvi, Inc.

Remote

$74.9K - $94.9K a year

Assist in the planning and direction, of work operations performed by ATF Human Resources Specialists through monitoring assigned caseload and personnel actions for accuracy, timeliness, and compliance with the Code of Federal Reg...

2 months ago seen See more...

Quality Assurance Reviewer / Document Control - Biotechnology

Kimera Labs, Inc.

Florida, United States

$72.9K - $92.3K a year

Direct report to the QA Technical Manager under the Chief Regulatory Officer (CRO). Responsible for Reviewing, Assembling Executed Batch Records. Working close with the operators to address Batch Record errors in a timely fashion....

2 months ago seen See more...

Case Management Nurse Utilization Review Inpatient: Remote

Florida Health Care Plans, Inc.

Florida, United States

$68.8K - $87.2K a year

Current licensure in Florida as a Registered Nurse. Minimum of 3 years clinical experience; acceptable areas include Ambulatory Care, Medical/Surgical, or ICU required. Previous experience with referrals, Case Management, pre-cert...

2 months ago seen See more...

Fastest job search tips

Search on Google

"Keyword" + 123work.net

For example: Quality Review Nurse jobs in Maryland 123work.net

Home
Create Cover Letter
Create Resume
Account
More