Job Summary
Large healthcare company is seeking a Remote Clinical Appeals RN.
Must be able to:
- Analyze/review Clinical Operations Analysis
- Analyze Clinical Appeals and Grievances
- Assesses and interpret customer needs and requirements
Skills and Requirements Include:
- A current, valid and unrestricted RN licensure in your state of residence
- 1 year Utilization Review, Case Management or Medical Appeal Review experience
- Undergraduate degree or equivalent experience
- Strong Microsoft Office (Word, Excel & Outlook)
- 5 years clinical experience in an acute care or an outpatient setting
- Must have access to high speed internet