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Telecommute Clinical Appeals Nurse in San Antonio

Job is Expired
Location: Texas
Compensation: To Be Discussed
Staff Reviewed: Sat, Feb 10, 2018
Job Category: Case Management, Healthcare, Insurance
Weekly Hours: Full Time
Employment Status: Permanent
Employer Type: Employer
Career Level: Experienced
Education Level: Some College

Job Summary

A healthcare services company has a current position open for a Telecommute Clinical Appeals Nurse in San Antonio.

Core Responsibilities of this position include:

  • Making appropriate and correct clinical decisions for appeals outcomes
  • Performing clinical/medical reviews of previously denied cases
  • Identifying and reporting quality of care issues

Qualifications Include:

  • Graduated from an Accredited School of Nursing
  • 3-5 years clinical nursing experience
  • 1-3 years Managed Care Experience
  • Experience demonstrating knowledge of ICD-9, CPT coding and HCPC
  • Active, unrestricted State Registered Nursing (RN) license in good standing

COMPLETE JOB DESCRIPTION

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