Remote RN Medical Reviewer II

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Mon, Jan 03, 2022
Job Summary

An insurance company. needs applicants for an opening for a Remote RN Medical Reviewer II .

Core Responsibilities of this position include:

  • Making reasonable charge payment determinations based on clinical/medical information and established criteria/protocol
  • Performing medical claim reviews
  • Determining medical necessity and appropriateness

Must meet the following requirements for consideration:

  • Associate degree in nursing
  • Active RN licensure in state hired
  • Excellent communication skils
  • Active compact multistate RN license as defined by the Nurse Licensure Compact (NLC).
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