Talent.com
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsBrownsville, Texas, United States
job_description.job_card.variable_hours_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 • Brownsville, Texas, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Customer Service Representative - Healthcare - $500 new hire bonus and up to $2,400+ in other potential bonuses! (Olmito)

Customer Service Representative - Healthcare - $500 new hire bonus and up to $2,400+ in other potential bonuses! (Olmito)

MaximusOlmito, Texas, US
serp_jobs.job_card.full_time
General information Job Posting Title Customer Service Representative - Healthcare Date Wednesday, July 30, 2025 City Brownsville State TX Country United States Working time Full-time Description &...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Behavioral Health Assoc I - Nights FT

Behavioral Health Assoc I - Nights FT

Summit Behavioral HealthcareHarlingen, TX, US
serp_jobs.job_card.full_time
Behavioral Health Assoc I - Nights FT | Palms Behavioral Health | Harlingen, Texas.The Behavioral Health Associate I works under the direct supervision of a licensed nurse as an integral part of th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Office Specialist

Medical Office Specialist

Driscoll Children's HospitalBrownsville, TX, US
serp_jobs.job_card.full_time
Where Compassion Meets Innovation and Technology And Our Employees Are Family.Thank you for your interest in joining our team! Please review the job information below. Reporting to the department ma...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Certified Medical Assistant

Certified Medical Assistant

Truhealth Family ClinicBrownsville, TX, US
serp_jobs.job_card.full_time
Career Advancement Opportunities.As a Medical Assistant, you will be preparing for each patient visit by preparing charts and pulling notes before their arrival, providing routine support alongside...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Physician III Opportunity at Rio Grande State Center

Physician III Opportunity at Rio Grande State Center

Health and Human Services Commission (HHSC)Harlingen, TX, US
serp_jobs.job_card.permanent
Join Our Team as a Physician III at Rio Grande State Center!.Lead and supervise medical staff.Perform comprehensive assessments and order necessary studies. Monitor patient response to treatment and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Customer Service Representative - Healthcare - $500 new hire bonus and up to $2,400+ in other potential bonuses! (San Benito)

Customer Service Representative - Healthcare - $500 new hire bonus and up to $2,400+ in other potential bonuses! (San Benito)

MaximusSan Benito, Texas, US
serp_jobs.job_card.full_time
General information Job Posting Title Customer Service Representative - Healthcare Date Wednesday, July 30, 2025 City Brownsville State TX Country United States Working time Full-time Description &...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Patient Access Rep II - Days Valley Baptist

Patient Access Rep II - Days Valley Baptist

Tenet HealthcareHarlingen, TX, US
serp_jobs.job_card.full_time
Focus on the core content of the job post, removing all extra metadata, navigation mentions, and other irrelevant information. The goal is to present a clean, beautiful, and high-signal-to-noise rat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Service Representative

Patient Service Representative

Tenet HealthcareHarlingen, TX, US
serp_jobs.job_card.full_time
Focus on the core content of the job post, removing any extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Receptionist

Medical Receptionist

South Heart ClinicHarlingen, TX, US
serp_jobs.job_card.full_time
Duties and Responsibilities Include But Are Not Limited To : .Greets patients and visitors in a prompt, courteous, and helpful manner. Checks in patients, verifies and updates necessary information in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Rep II - Days - Valley Baptist

Patient Access Rep II - Days - Valley Baptist

Tenet HealthcareBrownsville, TX, US
serp_jobs.job_card.full_time
This is the job title and description.No extra metadata, links, buttons, or any other unnecessary information has been included. The content is clean, focused, and ready for your platform.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Chief Medical Officer - Outpatient Clinic

Chief Medical Officer - Outpatient Clinic

Health and Human Services Commission (HHSC)Harlingen, TX, US
serp_jobs.job_card.permanent
The Chief Medical Officer oversees medical, clinical, and public health activities in the outpatient clinic.Responsibilities include directing medical and infection control activities, ensuring hig...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Employed Neurology Opportunity – Valley Baptist Medical Center | Harlingen, TX

Employed Neurology Opportunity – Valley Baptist Medical Center | Harlingen, TX

Tenet Healthcare CorporationHarlingen, TX, US
serp_jobs.job_card.full_time +1
Valley Baptist Medical Center - Harlingen, the largest hospital in the Rio Grande Valley, is seeking a Board Certified / Board Eligible General Neurologist to join our growing neuroscience program.Th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Customer Service Representative - Healthcare - $500 new hire bonus and up to $2,400+ in other potential bonuses! (Los Fresnos)

Customer Service Representative - Healthcare - $500 new hire bonus and up to $2,400+ in other potential bonuses! (Los Fresnos)

MaximusLos Fresnos, Texas, US
serp_jobs.job_card.full_time
General information Job Posting Title Customer Service Representative - Healthcare Date Wednesday, July 30, 2025 City Brownsville State TX Country United States Working time Full-time Description &...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Medical Assistant / OR scheduler

Medical Assistant / OR scheduler

Prime HealthcareHarlingen, TX, US
serp_jobs.job_card.full_time
Certified Medical Assistant / Or Scheduler.We are seeking a Certified Medical Assistant / Or Scheduler, also referred to as a Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA).Cer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Physician - VA Disability Exams

Physician - VA Disability Exams

Kelly Science, Engineering, Technology & TelecomBrownsville, TX, United States
serp_jobs.job_card.full_time
Physicians needed to conduct Veteran Disability Evaluations (DBQs).Kelly Government Solutions is a strategic supplier and business partner to the federal government and its key suppliers.Kelly Gove...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Physician - VA Disability Exams (Brownsville)

Physician - VA Disability Exams (Brownsville)

Kelly Science, Engineering, Technology & TelecomBrownsville, TX, US
serp_jobs.job_card.full_time +1
Physicians needed to conduct Veteran Disability Evaluations (DBQs).Kelly Government Solutions is a strategic supplier and business partner to the federal government and its key suppliers.Kelly Gove...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Account Registrar

Patient Account Registrar

Prime HealthcareHarlingen, TX, US
serp_jobs.job_card.full_time
The Patient Account Registrar interviews the patient or his / her representative to obtain patient demographics.This position also secures insurance information, eligibility, benefits and authorizati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Customer Service Representative - Healthcare - $500 new hire bonus and up to $2,400+ in other potential bonuses! (Brownsville)

Customer Service Representative - Healthcare - $500 new hire bonus and up to $2,400+ in other potential bonuses! (Brownsville)

MaximusBrownsville, Texas, US
serp_jobs.job_card.full_time
General information Job Posting Title Customer Service Representative - Healthcare Date Wednesday, July 30, 2025 City Brownsville State TX Country United States Working time Full-time Description &...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Patient Access Rep II Outpatient, Days - Valley Baptist

Patient Access Rep II Outpatient, Days - Valley Baptist

Tenet HealthcareHarlingen, TX, US
serp_jobs.job_card.full_time
Focus on the main content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Remove all emojis, sp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Medical Assistant

Certified Medical Assistant

Snelling Staffing ServicesBrownsville, TX, US
serp_jobs.job_card.full_time
Medical office position responsible for providing direct nursing care in a medical office setting under the direction of a physician, assists medical providers, and maintains a clean and safe envir...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30