Remote Clinical Appeals Nurse

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Fri, Oct 18, 2019

This job expires in 25 days

Job Category: Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A provider of electronic health records software is in need of a Remote Clinical Appeals Nurse.

Candidates will be responsible for the following:

  • Preparing professional, effective clinical appeals
  • Reviewing medical records and writing appeals
  • Presenting oral arguments for reversing Medicare denials

Skills and Requirements Include:

  • Current state licensure
  • Bachelor of Science degree in Nursing or equivalent
  • Minimum of 3 years case management/concurrent review/utilization management experience
  • Proficiency in medical record review
  • 5+ years clinical experience in acute care setting
  • Proficiency with MS Word