Job Summary
A clinical services and information technology company has a current position open for a Remote Nurse Reviewer in Tampa.
Candidates will be responsible for the following:
- Reviewing preservice laboratory testing services requests to establish medical necessity
- Providing support to front-line staff and internal customers
- Documenting request details for Physician Reviewers
Qualifications for this position include:
- 2-3 years’ experience performing Preservice Review in a health plan
- Bachelor’s Degree or equivalent experience
- Registered Nurse or Licensed Practical Nurse
- Ability to apply clinical judgment where appropriate
- Understanding of ICD-10-CM, CPT and HCPCS coding
