Remote Medical Claim Review Registered Nurse

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Fri, Apr 29, 2022

Job Summary

A managed healthcare and benefits company is filling a position for a Remote Medical Claim Review Registered Nurse.

Individual must be able to fulfill the following responsibilities:

  • Perform clinical/medical reviews of retrospective medical claim reviews
  • Identify and report quality of care issues
  • Assist with Complex Claim review

Position Requirements Include:

  • RN, BSN, or LCSW
  • Bachelor's Degree in Nursing or Health Related Field
  • Minimum three years clinical nursing experience
  • Claims Review experience
  • Minimum one year Utilization Review and/or Medical
  • Active, unrestricted State Registered Nursing (RN) license in good standing

COMPLETE JOB DESCRIPTION

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