Telecommute Payment Integrity Nurse

Location: Idaho, Oregon, Utah, Washington

Compensation: Salary

Staff Reviewed: Tue, Jan 05, 2021

This job expires in: 18 days

Job Category: Healthcare

Remote Level: Partially Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College, Bachelors

Job Summary

A nonprofit healthcare company has a current position open for a Telecommute Payment Integrity Nurse.

Core Responsibilities of this position include:

  • Ensuring compliance with medical and reimbursement policies
  • Serving members and providers by performing reviews of claims
  • Consulting with physician advisors to ensure clinically appropriate determinations

Must meet the following requirements for consideration:

  • Maintain clinical competency by attending pertinent medical conferences, workshops, and seminars
  • Unrestricted Registered Nurse license within either OR, WA, ID or UT
  • 3 years (or full time equivalent) of direct clinical care
  • Knowledge of medical and surgical procedures and other healthcare practices
  • Competency to apply clinical expertise to ensure compliance
  • Ability to read and interpret medical records and patient data

COMPLETE JOB DESCRIPTION

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