Nurse jobs in the Insurance industry

This role is specific to nurse case management where the primary objective is to assist the Workers’ Compensation and No-Fault claim departments with medical oversight and possible case management of an injured party’s claim. This will be achieved through the collaborative process of injury assessment, medical planning, facilitation and coordination of care with the injured party and claim units i...
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UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and h...
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The INSPIRIS Home Assessment program offers the opportunity to complete a history and physical assessment for patients in the comfort of their own home during a single visit. The Nurse Practitioner is provided the necessary equipment and medical supplies needed to perform the assessments, and is required to submit documentation at the completion of the assessment. This position requires travel to ...
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Work and playing Montana Blue Cross and Blue Shield of Montana (BCBSMT) is seeking a Registered Nurse with a current, unrestricted Montana Nursing License to join our team as a Utilization Management Nurse (RN) in our Helena office. You will apply your clinical knowledge to optimize benefits based on BCBSMT member care needs, validate hospital admissions according to nationally recognized standard...
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We currently seek an experienced RN with strong interpersonal skills to join our team. The chosen Clinical Appeals Nurse would be responsible for reviewing appeals and grievances to determine if the appropriate care was given. This is an office setting position, located in Baltimore, MD. Responsibilites include: Assesses and interprets customer needs and requirements Identifies solutions to non-st...
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Unum is a company of people serving people. As one of the world's leading employee benefits providers and a Fortune 250 company, Unum helps protect more than 25 million working people and their families in the event of illness or injury. Headquartered in Chattanooga Tennessee, Unum has significant U.S. operations in Portland, Maine, Worcester, Massachusetts and Glendale, California with 35 field o...
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HealthPlus of Michigan has an excellent opportunity for an individual to join our leading health insurance organization. The Utilization Review (UR) Nurse ensures services meet member’s health needs and promotes the provision of high quality care in the most appropriate and cost-effective setting by identifying, assessing, planning, coordinating, monitoring, and evaluating healthcare services, out...
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Nurse Claim Reviewer (Lakewood, CO) Non-Hospital The Assist Group is a leader in claim resolution services combining hands-on clinical, financial and coding expertise with advanced technology to conduct a line-by-line review of hospital and out-patient facility claims, identifying savings opportunities often missed in a standard automated review. Our services assures that payers make appropriate p...
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Disease Management Nurse International Medical Group, Inc. (IMG) is a worldwide leader in designing, distributing and administering global healthcare products. Our headquarters is located just across from the Children’s Museum near downtown Indianapolis. We are currently expanding our Akeso Care Management Division and have an immediate opening for a Disease Management Nurse. This position will be...
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CHART is a Medical Professional Liability Insurer and Patient Safety Organization (PSO) owned by 53 member community hospitals in PA, WV and NY. Our mission is to provide medical professional liability insurance for our member hospitals and physicians, as well as to improve patient safety, reduce medical errors and maximize the quality of health care. We are seeking a Nurse Educator with Emergency...
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Based in Atlanta, Ga., Crawford & Company (www.crawfordandcompany.com) is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with an expansive global network serving clients in more than 70 countries. The Crawford System of Claims SolutionsSM offers comprehensive, integrated claims services, busine...
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Mutual Assurance Administrators Inc. / BMI-HealthPlans Division has a full-time opportunity for a Utilization Review Nurse. This position is primarily responsible for accurately and efficiently taking clinical information and determining medical necessity by using appropriate national criteria. The UR Nurse is also responsible for handling all correspondence and assisting with customer calls while...
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Mutual Assurance Administrators Inc. / BMI-HealthPlans Division has a full-time opportunity for a Utilization Review Nurse. This position is primarily responsible for accurately and efficiently taking clinical information and determining medical necessity by using appropriate national criteria. The UR Nurse is also responsible for handling all correspondence and assisting with customer calls while...
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Mutual Assurance Administrators Inc. / BMI-HealthPlans Divisionhas a full-time opportunity for a Utilization Review Nurse. This position is primarily responsible for accurately and efficiently taking clinical information and determining medical necessity by using appropriate national criteria. The UR Nurse is also responsible for handling all correspondence and assisting with customer calls while ...
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Liberty Mutual Insurance “Helping people live safer, more secure lives” since 1912, Boston-based Liberty Mutual Insurance is a diversified global insurer and third largest property and casualty insurer in the U.S. based on A.M. Best Company’s report of 2010 net written premium. Liberty Mutual also ranks 82nd on the Fortune 100 list of largest corporations in the U.S. based on 2010 revenue. As of D...
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Liberty Mutual Insurance “Helping people live safer, more secure lives” since 1912, Boston-based Liberty Mutual Insurance is a diversified global insurer and third largest property and casualty insurer in the U.S. based on A.M. Best Company’s report of 2010 net written premium. Liberty Mutual also ranks 82nd on the Fortune 100 list of largest corporations in the U.S. based on 2010 revenue. As of D...
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Liberty Mutual Insurance “Helping people live safer, more secure lives” since 1912, Boston-based Liberty Mutual Insurance is a diversified global insurer and third largest property and casualty insurer in the U.S. based on A.M. Best Company’s report of 2010 net written premium. Liberty Mutual also ranks 82nd on the Fortune 100 list of largest corporations in the U.S. based on 2010 revenue. As of D...
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Liberty Mutual Insurance “Helping people live safer, more secure lives” since 1912, Boston-based Liberty Mutual Insurance is a diversified global insurer and third largest property and casualty insurer in the U.S. based on A.M. Best Company’s report of 2010 net written premium. Liberty Mutual also ranks 82nd on the Fortune 100 list of largest corporations in the U.S. based on 2010 revenue. As of D...
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Liberty Mutual Insurance “Helping people live safer, more secure lives” since 1912, Boston-based Liberty Mutual Insurance is a diversified global insurer and third largest property and casualty insurer in the U.S. based on A.M. Best Company’s report of 2010 net written premium. Liberty Mutual also ranks 82nd on the Fortune 100 list of largest corporations in the U.S. based on 2010 revenue. As of D...
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Liberty Mutual Insurance “Helping people live safer, more secure lives” since 1912, Boston-based Liberty Mutual Insurance is a diversified global insurer and third largest property and casualty insurer in the U.S. based on A.M. Best Company’s report of 2010 net written premium. Liberty Mutual also ranks 82nd on the Fortune 100 list of largest corporations in the U.S. based on 2010 revenue. As of D...
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Liberty Mutual Insurance “Helping people live safer, more secure lives” since 1912, Boston-based Liberty Mutual Insurance is a diversified global insurer and third largest property and casualty insurer in the U.S. based on A.M. Best Company’s report of 2010 net written premium. Liberty Mutual also ranks 82nd on the Fortune 100 list of largest corporations in the U.S. based on 2010 revenue. As of D...
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Reporting to the Reassessment Nurse Manager at Senior Health Partners (SHP), the Reassessment Nurse is field based position who takes independent ownership for self-scheduling reassessment visits at intervals required by the Department of Health (DOH) to determine service needs and continued eligibility; coordinates with Care Management Team (CMT) to maintain a high level of efficient and effectiv...
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Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. SUMMARY: Office based telephonic medical case management with e...
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Nurse Consultant Primary responsibility is to provide medical decisions for members, providers, and the KS Insurance Dept. regarding predeterminations, claims and other inquiries in accordance with medical policy, standards of medical practice & within contractual benefits. QUALIFICATIONS: • BS in Nursing preferred • Current unrestricted State of Kansas RN license • Min. 3-5 years registered nurse...
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MagnaCare provides Utilization Review/ Medical Management services to its clients. Cases are reviewed by a licensed RN or LPN. We are looking for a part time Nurse Case Manager or Nurse Reviewer to report to the Director of Medical Management. Job Responsibilities: Is knowledgeable and compliant with all regulatory and statutory regulations that pertain to UR and self-insured clients, especially E...
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