Job is Expired
Location: Arkansas, Connecticut, Missouri, North Carolina, Pennsylvania, Virginia
Compensation: To Be Discussed
Staff Reviewed: Wed, Apr 03, 2019
Job Summary
A healthcare company needs applicants for an opening for a Remote Appeals Nurse Consultant.
Core Responsibilities of this position include:
- Reviewing clinical appeals from participating inpatient and outpatient Medicare Advantage providers
- Making medical necessity recommendations based on industry standards, MCG or InterQual guidelines
- Reviewing clinical appeals from participating inpatient and outpatient Medicare Advantage providers
Must meet the following requirements for consideration:
- 0-10% travel
- 3-5 years of clinical experience
- Nursing/Registered Nurse License in the State of Residence