Remote Clinical Appeals Nurse in Orange Park

Job ID: Available for Members

Location: Florida

Compensation: To Be Discussed

Staff Reviewed: Thu, Sep 19, 2019

Job Category: Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Entry Level

Additional Information: Benefits Available

Job Summary

A healthcare company is in need of a Remote Clinical Appeals Nurse in Orange Park.

Candidates will be responsible for the following:

  • Composing clinical appeal letters to send to payers for denial reconsiderations
  • Presenting a concise medical summary within each appeal based on support from the medical record
  • Demonstrating understanding of use of all Medical Necessity software

Required Skills:

  • At least one year case management experience required
  • Relevant education may substitute experience requirement
  • State RN or LPN License required