Remote Clinical Review Nurse I

This job has been removed

Location: Georgia

Compensation: To Be Discussed

Staff Reviewed: Mon, Apr 12, 2021

This job expires in: 0 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A health insurance company is in need of a Remote Clinical Review Nurse I .

Individual must be able to fulfill the following responsibilities:

  • Applying clinical knowledge to assess and ensure services/items billed are reasonable and necessary
  • Adapting to a wide variety of medical review topics and multiple Medicare lines of business
  • Articulating clearly with other clinicians to include medical doctors, nurses, and support personnel is required via teleconference education sessions

Skills and Requirements Include:

  • Current unrestricted RN license
  • Two (2) years’ clinical experience
  • Knowledge of Medicare
  • Ability to comprehend medical policy and criteria to clearly articulate health information
  • Preferred experience in Hospice and Home Healt
  • Demonstrated prioritization, problem solving, and organization skills

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