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