Remote NGS Clinical Review Nurse I

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Posted: Thursday, December 06, 2018

This job expires in 19 days

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A health insurance company has a current position open for a Remote NGS Clinical Review Nurse I.

Core Responsibilities Include:

  • Ensuring services/items billed are reasonable and necessary
  • Reviewing documentation and making clinical determinations for payment

Qualifications Include:

  • Strong computer skills, including Microsoft Office proficiency
  • Two (2) years' clinical experience
  • Background in SNF, Hospice and/or broad Part B preferred