Job Summary
A healthcare company needs applicants for an opening for a Remote Medical Review Nurse in Jacksonville.
Core Responsibilities Include:
- Gathering and reviewing subscriber's medical information
- Conducting weekly reviews with internal and external sources
- Conducting training of new staff members and providers as needed
Qualifications for this position include:
- Conduct on-site review of subscriber's medical information
- 3+ years related work experience or equivalent combination of transferable experience and education
- Registered Nurse - State Licensure And/Or Compact State Licensure Florida license
- Valid and In State Florida drivers license
- 1 year utilization management experience
- ICD-9 Coding