Job is Expired
Location: Central Time, Eastern Time
Compensation: To Be Discussed
Staff Reviewed: Thu, Aug 11, 2022
Job Summary
A healthcare insurance company has a current position open for a Remote Appeals Registered Nurse.
Individual must be able to fulfill the following responsibilities:
- Review medical records for potential quality of care issues
- Conduct investigations and reviews of member grievances and potential quality of care issues
- Extrapolate and summarize medical information for medical director
Required Skills:
- Current active unrestricted RN license
- 2 years of experience in a managed care healthcare setting, or equivalent
- Leadership skills
- Able to serve as a subject matter expert for critical incidents/grievances/quality of care issues