Job Summary
A healthcare company needs applicants for an opening for a Telecommute Clinical Appeals RN.
Core Responsibilities of this position include:
- Overseeing Clinical Appeals and Grievances
- Performing Clinical Operations Analysis
- Solving moderately complex problems
Skills and Requirements Include:
- A current, valid and unrestricted RN licensure in your state of residence
- 5+ years clinical experience in an acute care or an outpatient setting
- 1+ year Utilization Review, Case Management or Medical Appeal Review experience
- Strong Microsoft Office (Word, Excel & Outlook)
- Must have access to high speed internet
