Remote Insurance Appeals Nurse Consultant

Job ID: Available for Members

Location: Colorado, Connecticut, Illinois, Texas

Compensation: To Be Discussed

Staff Reviewed: Thu, Feb 06, 2020

This job expires in 20 days

Job Category: Healthcare, Insurance, Nursing

Telecommute Level: Majority

Travel Requirements: Some Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Additional Information: Benefits Available

Job Summary

A health insurance company is in need of a Remote Insurance Appeals Nurse Consultant.

Core Responsibilities Include:

  • Reviewing complaint/appeal requests of all clinical and benefit documentation
  • Considering all previous information as well as any additional records/data presented to render a recommendation/review
  • Gathering data that requires navigation through multiple system applications

Qualifications Include:

  • Percent of Travel Required: 0 - 10%
  • RN with current unrestricted state licensure required
  • 3+ years of clinical experience required
  • Managed Care experience preferred
  • Utilization Review experience preferred