Remote Medicare Clinical Reviewer

Job Summary

A home health benefits management services provider needs applicants for an opening for a Remote Medicare Clinical Reviewer.

Core Responsibilities Include:

• Ensuring case review and elevation to complete the determination is rendered
• Interacting with the Medical Director as needed

Position Requirements Include:

• You have a minimum of 2 years in a clinical setting
• You have an Associate's Degree or Diploma in Nursing/Practical Nursing
• You have a minimum of 1-2 years prior authorization experience for Medicare or Medicare Advantage Home Health
• You hold an active, current and unrestricted license