Job Summary
A health insurance company is seeking a Telecommute Clinical Quality RN Auditor.
Must be able to:
- Identify incomplete/inconsistent information in case reviews
- Prioritize services for medical chart review
- Report inconsistencies/problems
Skills and Requirements Include:
- 2+ years of medical claims review post service
- Or 2+ years of prior authorization experience
- 2+ years of experience in medical necessity or utilization management / review
- Unrestricted Registered Nursing License