Talent.com
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsBaltimore, Maryland, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.

Key Responsibilities

Conduct medical claim reviews for complex services and determine coverage and reimbursement based on established criteria

Document medical rationale for payment or denial of services and provide education on medical reviews and coding procedures

Participate in quality control activities and assist with special projects as assigned by management

Required Qualifications, Training, and Education

Associate Degree in Nursing or graduate of an accredited School of Nursing

Two years of clinical experience

Active RN licensure in the state hired or an active compact multistate RN license

Preferred experience in medical review or utilization review

Proficient in Microsoft Office

serp_jobs.job_alerts.create_a_job

South Carolina • Baltimore, Maryland, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
RN I

RN I

LifeBridge HealthRandallstown, MD, United States
serp_jobs.job_card.part_time
Sign On Bonus Potential : 10,000 .Schedule - Shift - Hours" aria-hidden="true"> .Part-time w / Weekend Commitment - Day shift - 7 : 00am-7 : 30pm . Job Category" aria-hidden="true"> .Join our new Medsu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Travel Nurse RN - Operating Room - $2,182 per week in Leonardtown, MD

Travel Nurse RN - Operating Room - $2,182 per week in Leonardtown, MD

TravelNurseSourceColumbia, Maryland, US
serp_jobs.job_card.full_time
TravelNurseSource is working with American Medical Staffing to find a qualified OR RN in Leonardtown, Maryland, 20650!.We’re living in the new normal. Lives and careers look different today.So why s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Nurse RN - Operating Room - $2,472 per week in Rosedale, MD

Travel Nurse RN - Operating Room - $2,472 per week in Rosedale, MD

TravelNurseSourceColumbia, Maryland, US
serp_jobs.job_card.full_time
TravelNurseSource is working with American Medical Staffing to find a qualified OR RN in Rosedale, Maryland, 21237!.We’re living in the new normal. Lives and careers look different today.So why shou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
RN Director

RN Director

BrightSpring Health ServicesArlington, VA, United States
serp_jobs.job_card.full_time
RN Director Home Health Clinical Practice.Provide oversight, leadership and support relating to clinical practice and care provision. Consult and collaborate with agency leadership and nursing to ac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Nurse RN - Labor & Delivery - $2,205 per week in Upper Marlboro, MD

Travel Nurse RN - Labor & Delivery - $2,205 per week in Upper Marlboro, MD

TravelNurseSourceColumbia, Maryland, US
serp_jobs.job_card.full_time
TravelNurseSource is working with American Medical Staffing to find a qualified Labor / Delivery RN in Upper Marlboro, Maryland, 20774!. We’re living in the new normal.Lives and careers look different...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Rn Home Health

Rn Home Health

The Judge GroupBaltimore, MD, US
serp_jobs.job_card.full_time +1
Registered Nurse – Home Health Case Manager.Montgomery County, MD & Northwest Washington, DC.Montgomery County and select zip codes in northwest Washington, DC. This role offers a dynamic mix of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Travel Nurse RN - Telemetry - $1,838 per week in Leonardtown, MD

Travel Nurse RN - Telemetry - $1,838 per week in Leonardtown, MD

TravelNurseSourceColumbia, Maryland, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Magnet Medical to find a qualified Telemetry RN in Leonardtown, Maryland, 20650!.Purpose of the Position : Responsible for the delivery of direct patient care using...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Travel Nurse RN - Operating Room - $2,426 per week in Leonardtown, MD

Travel Nurse RN - Operating Room - $2,426 per week in Leonardtown, MD

TravelNurseSourceColumbia, Maryland, US
serp_jobs.job_card.full_time
TravelNurseSource is working with American Medical Staffing to find a qualified OR RN in Leonardtown, Maryland, 20650!.We’re living in the new normal. Lives and careers look different today.So why s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Nurse RN - Telemetry - $1,894 per week in Leonardtown, MD

Travel Nurse RN - Telemetry - $1,894 per week in Leonardtown, MD

TravelNurseSourceColumbia, Maryland, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Magnet Medical to find a qualified Telemetry RN in Leonardtown, Maryland, 20650!.Purpose of the Position : Responsible for the delivery of direct patient care using...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
RN

RN

Johns Hopkins MedicineBaltimore, Maryland, United States
serp_jobs.job_card.full_time
ELEVATE your possibilities | NOW HIRING | Registered Nurses | Cath Lab At Johns Hopkins Health System, you can excel in your career as an RN. There are many different specialties where you can perfo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
RN (Hiring Immediately)

RN (Hiring Immediately)

Johns Hopkins MedicineBaltimore, MD, US
serp_jobs.job_card.full_time +1
Float Pool ED offers $3 differential • •.Are you ready to elevate your nursing career while making a profound impact on patients? Make. Join our ED Float Pool Team | Now Hiring | Experienced Registere...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Nurse RN - Labor & Delivery - $2,455 per week in Columbia, MD

Travel Nurse RN - Labor & Delivery - $2,455 per week in Columbia, MD

TravelNurseSourceColumbia, Maryland, US
serp_jobs.job_card.full_time
TravelNurseSource is working with American Medical Staffing to find a qualified Labor / Delivery RN in Columbia, Maryland, 21044!. We’re living in the new normal.Lives and careers look different today...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Nurse RN - Telemetry - $2,029 per week in Bel Air, MD

Travel Nurse RN - Telemetry - $2,029 per week in Bel Air, MD

TravelNurseSourceColumbia, Maryland, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Magnet Medical to find a qualified Telemetry RN in Bel Air, Maryland, 21014!.Purpose of the Position : Responsible for the delivery of direct patient care using the...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
RN Inpatient - Relocation to Virginia

RN Inpatient - Relocation to Virginia

Carilion ClinicBaltimore, MD, US
serp_jobs.job_card.full_time
RN opportunities at Level 1 Trauma Center in Roanoke, Virginia.Multiple specialties available including Medical, Surgical, Cardiovascular, Neurotrauma, Emergency Department and more.Sign on bonuses...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
RN Home Health - Montgomery County

RN Home Health - Montgomery County

Johns Hopkins MedicineBethesda, MD, US
serp_jobs.job_card.full_time
Unlock Your Potential at Johns Hopkins!.Washington, DC, in the area surrounding Sibley Memorial Hospital, providing a wide range of patient interactions in a vibrant, fast-paced environment.If you&...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
RN Director (Arlington)

RN Director (Arlington)

BrightSpring Health ServicesArlington, VA, US
serp_jobs.job_card.part_time
RN Director Home Health Clinical Practice.Provide oversight, leadership and support relating to clinical practice and care provision. Consult and collaborate with agency leadership and nursing to ac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
RN-L&D

RN-L&D

Lancesoft INCTowson, MD, US
serp_jobs.job_card.full_time
Required Skills and Qualifications : .Minimum 2 years of recent Labor & Delivery (L&D) experience – Required.Active Maryland RN license or Compact License. Certifications (must be curren...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
RN - Float Pool pay incentives (Hiring Immediately)

RN - Float Pool pay incentives (Hiring Immediately)

Johns Hopkins MedicineBaltimore, MD, US
serp_jobs.job_card.full_time +1
Float Pool Med Surg offers $3 differential • •.Are you ready to elevate your nursing career while making a profound impact on patients? Make. Join our Med Surg Float Pool Team | Now Hiring | Experienc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Nurse RN - Telemetry - $1,706 to $1,906 per week in Leonardtown, MD

Travel Nurse RN - Telemetry - $1,706 to $1,906 per week in Leonardtown, MD

TravelNurseSourceBaltimore, Maryland, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Ventura MedStaff to find a qualified Telemetry RN in Leonardtown, Maryland, 20650!.Are you ready to take your Travel career to the next level? See places you have...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
RN CVOR

RN CVOR

Lancesoft INCBaltimore, MD, US
serp_jobs.job_card.full_time
Years Minimum Experience Required.Must have 1 prior travel assignment.LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30