Telecommute Clinical Appeals Registered Nurse

Job ID: Available for Members

Location: Pacific Time, Mountain Time

Compensation: To Be Discussed

Staff Reviewed: Tue, Apr 23, 2019

Job Category: Case Management

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A healthcare company is seeking a Telecommute Clinical Appeals Registered Nurse.

Individual must be able to fulfill the following responsibilities:

  • Review medical records and verify if the requested service meets criteria
  • Review and interpret Plan language
  • Coordinate reviews with the Medical Director

Skills and Requirements Include:

  • Active, unrestricted RN license in state of residence
  • 2+ years clinical experience as an RN including in an acute, inpatient hospital setting
  • Strong proficiency in Microsoft Office Word, Outlook, and Internet applications
  • Ability to support Mountain Time Zone or Pacific Time Zone