Telecommute Clinical Quality RN Auditor

Job is Expired

Location: Nationwide

Compensation: Salary

Staff Reviewed: Wed, Dec 01, 2021

Job Category: Quality Assurance

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

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

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