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
