Job Summary
A managed healthcare and insurance company is seeking a Telecommute Clinical Grievances Registered Nurse.
Individual must be able to fulfill the following responsibilities:
- Perform clinical assessment of healthcare services provided to our members for appropriateness
- Facilitate telephonic discussion with health care providers and/or members to obtain additional clinical information
- Provide timely, quality service to members and providers while upholding company culture values
Qualifications for this position include:
- Current, unrestricted RN license in the state of residency
- 3+ years of total RN experience including clinical experience in an inpatient / acute setting
- Demonstrated clinical documentation skills and critical thinking skills
- Demonstrated proficiency in computer skills
