Remote Registered Nurse Clinical Review Specialist

Job is Expired
Location: Nationwide
Compensation: Piece Work
Staff Reviewed: Tue, Jan 25, 2022

Job Summary

A healthcare company is in need of a Remote Registered Nurse Clinical Review Specialist.

Candidates will be responsible for the following:

  • Evaluating clinical documentation
  • Reviewing service denials by both government and commercial payers
  • Preparing appeal letters for reconsideration of appropriate medical care

Qualifications Include:

  • Registered Nurse (RN) from an accredited institution
  • Bachelor's degree in Nursing, Business, Health Information, Clinical Studies
  • Five (5) years’ experience as an RN; must include utilization review experience

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