Telecommuting Clinical Review Nurse I

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Posted: Tuesday, March 20, 2018

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Employer Type: Employer

Career Level: Experienced

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