- Locations: Colorado, North Carolina, Texas, Minnesota, Tennessee
- Related Keywords: Fraud, Fraud RN, Medical, Medical Fraud, RN
- Sr Investigator
- Premera (Mountlake Terrace, WA)
- ...responsibilities. At least 4 years of active experience in health insurance fraud , specifically. 3. Medical , medical insurance, investigations or...
- Nursing Supervisor
- Kaiser Permanente - Colorado (Westminster, CO)
- ...service behaviors of staff supporting the practices of physicians and other medical providers; assists the Manager in supervising and coordinating the activities of...
- Fraud Waste and Abuse (FWA) Registered Nurse Claim
- Universal American Financial Corp (Houston, TX)
- ... Review Case Management, Claims Recovery and UAM SIU where applicable.The claims FWA RN Analyst identifies potential instances of fraud , waste and abuse by...
- Fraud Waste and Abuse (FWA) Registered Nurse Claims Analyst
- Universal American Corporation (Houston, TX)
- ...Review Case Management, Claims Recovery and UAM SIU where applicable. The claims FWA RN Analyst identifies potential instances of fraud , waste and abuse by...
- Claims Analyst/Review Nurse, Project Support, Health Care Fraud Investigator
- Health Integrity (Dallas, TX)
- ...communication and report writing. Knowledge of quality improvement concepts and medical terminology is preferred. Health Care Fraud InvestigatorIndependently...
- Medical Claims Review, RN
- Molina Healthcare Inc. (Long Beach, CA)
- ...Beach, California. Job Summary Under the direct supervision of the Manager, Medical Claims Review is responsible for retrospective review of rendered inpatient and...
- RN Lead Clinical Coding Specialist**Home Health Care*
- Medical Services of America (Lexington, SC)
- Medical Services of America, Inc. (MSA), headquartered in Lexington, SC, began providing home care services in 1973 with a unique concept - Total Home Health Care....
- RN - Staff
- Our Lady of Lourdes Regional Medical Center (Lafayette, LA)
- ...to practice in the State of Louisiana. III. NATURE AND SCOPE OF POSITION The RN 2 collaborates with the patient, family, and health care team in the formulation of...
- Case Manager / RN / Registered Nurse
- All Medical Personnel (Dallas, TX)
- ...Manager will then review incoming requests for the following criteria: completeness, medical necessity, possible fraud , abuse and duplication of services Upon...
- Disease Case Manager / Registered Nurse / RN
- All Medical Personnel (Chicago, IL)
- ...Manager will then review incoming requests for the following criteria: completeness, medical necessity, possible fraud , abuse and duplication of services...
- Cost Containment Specialist RN
- PMA Capital Corporation (Blue Bell, PA)
- Cost Containment Specialist RN CB10728 Job Type: Full-Time Location: Blue Bell, PA Last Updated: 02/22/2010 Job Description: In this position you will use...
- Pre-Service Clinical Review RN
- Group Health Cooperative (Tukwila, WA)
- ...a new medical technology assessment by Group Health. Identifies potential fraud , waste and abuse and evaluates claims to validate. Ensure documentation and...
- Medical Review Nurse
- HealthCare USA (St. Louis, MO)
- ...organization located in St. Louis, MO with the following Full-Time opportunity available: Medical Review Nurse HealthCare USA is seeking an individual that will be...
- Nursing Manager
- Kaiser Permanente - Colorado (Westminster, CO)
- ...behaviors of staff supporting the practices of physicians and other medical providers. Accountable for role clarity, communication, and performance management of...