Job Summary
An insurance company is seeking a Telecommuting Clinical Review Nurse I.
Core Responsibilities of this position include:
- Adapting to a wide variety of medical review topics
- Applying clinical knowledge to assess and ensure services/items billed are reasonable and necessary
- Reviewing documentation and making clinical determinations for payment supporting claims
Position Requirements Include:
- Demonstrated prioritization, problem solving, and organization skills
- Current unrestricted RN license required
- 2 years’ clinical experience
- Strong computer skills, including Microsoft Office proficiency