Medical Review Nurse No Experience Necessary Jobs in Fairmont

... Bachelors degree or equivalent work experience Active nursing license or similar ... Active nursing license or similar medical certification (RN, MA, etc.) 5 ... etc.) 5 years of technical..

Description The Utilization Management Nurse utilizes clinical nursing skills to ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... administration determinations. The Utilization Management Nurse 2..

... coordination, documentation and communication of medical services and/or benefit administration determinations. ... maintain all activities and processes necessary to maintain compliance with NCQA ... providers throughout the region. Weekly..

Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation and diagnosis coding ... to support optimal reimbursement. The Nurse Auditor 2 work..

... coordination, documentation and communication of medical services and/or benefit administration determinations. ... maintain all activities and processes necessary to maintain compliance with NCQA ... providers throughout the region. Weekly..