The Staff Nurse (RN) is responsible for providing professional services which may include assessing, planning, communicating, implementing and evaluating the...
Under minimal supervision, conducts detailed analysis and review of precertification requests, post-service and post-payment claims, concurrent review and29 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 (RN). Have and maintain an active, valid, current, unrestricted license (with no limitations, stipulations or pending adverse actions) to...1 day ago