Job Summary
A healthcare technology company needs applicants for an opening for a Telecommute Clinical Appeals Nurse.
Core Responsibilities of this position include:
- Being responsible for the clinical review and interpretation of medical records
- Being responsible for providing outstanding customer service to internal project teams
- Responding timely to clinical review requests/inquiries
Applicants must meet the following qualifications:
- Bachelor of Science in Nursing with an active, unencumbered license
- Be a Registered Nurse in at least one state in the United States
- Five to ten years of bedside experience in an acute care setting
- Experience in utilization review or case management is preferred
- Ability to follow all HIPAA guidelines
- Proficient knowledge of Microsoft Outlook, Word, Excel, and web-based healthcare systems