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Displaying 1-1 of 1 of the latest remote Medical Review nursing jobs

Medical Review
  • CGS Administrators 👩⚕️👨

    21 days ago

    Medical Review RN

    🍔 US
    RN Medical Review Customer Service Communication Critical Thinking

    Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices.

    CGS Administrators provides services under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, health care providers, and medical equipment suppliers.

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1 Based on analysis of over 1,200 job applications.