Registered Nurse (RN). Have and maintain an active, valid, current, unrestricted license (with no limitations, stipulations or pending adverse actions) to...
Under minimal supervision, conducts detailed analysis and review of precertification requests, post-service and post-payment claims, concurrent review and30 days ago
Nurse Reviewer (Fraud & Abuse)
A Nurse Reviewer performs a detailed analysis and review of the medical records applying clinical expertise, evidence based clinical guidelines, HMSA policies...30+ days ago
Registered Nurse- Field Case Manager (RN)
We are currently seeking a Field Nurse Case Manager (RN) for the Honolulu, Hawaii area. Responsible for assessment, planning, coordination, implementation and...5 hours ago