Remote Clinical Appeals Registered Nurse

Job ID: Available for Members

Location: Arizona, California, Georgia, Illinois

Compensation: To Be Discussed

Staff Reviewed: Mon, Jan 07, 2019

This job expires in 18 days

Job Category: Healthcare, Nursing

Telecommute Level: Occasionally

Travel Requirements: Onsite Required, Some Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A healthcare company has an open position for a Remote Clinical Appeals Registered Nurse.

Individual must be able to fulfill the following responsibilities:

  • Review provider post-service appeals for Medicare and Retirement
  • Gather clinical information including medical records and coverage criteria
  • Discuss cases with medical directors when applicable

Must meet the following requirements for consideration:

  • Attend mandatory trainings and scheduled staff meetings
  • Active, Unrestricted RN license
  • 2+ years of RN experience in acute setting
  • Working knowledge of MCG and CMS guidelines
  • Proficient in Basic Computer Skills
  • Must meet all other listed company requirements