Remote Durable Medical Equipment Clinical Reviewer

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Thu, Jun 02, 2022
Job Summary

A provider of home health benefits management services has an open position for a Remote Durable Medical Equipment Clinical Reviewer.

Core Responsibilities of this position include:

  • Performing an initial evaluation of the referral appropriateness
  • Requesting additional clinical information when needed
  • Determining if the service/device meets medical necessity for the patient

Position Requirements Include:

  • Associate's Degree or Diploma in Nursing/Practical Nursing
  • Registered Nurse/LPN/LVN with Licensure in the state(s) of practice
  • hold an active, current and unrestricted license
  • 1-2 years prior authorization experience for Medicare or Medicare Advantage Home Health
  • 2 years in a clinical setting
  • Strong knowledge of Medicare PDGM
COMPLETE JOB DESCRIPTION

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