Tennessee Licensed RN Medical Reviewer

Job is Expired

Location: Remote

Compensation: Salary

Reviewed: Tue, Nov 25, 2025

Job Category: Healthcare

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Job Summary

A company is looking for an RN Medical Reviewer II - Part A.

Key Responsibilities

Performs medical claim reviews and determines medical necessity based on clinical information and established guidelines
Educates staff on medical reviews, terminology, and coding procedures
Participates in quality control activities and provides guidance to team members

Required Qualifications

Associate's degree in a job-related field
Graduate of an accredited School of Nursing
2 years of clinical experience
Active RN licensure in the state hired or active compact multistate RN license
Working knowledge of Microsoft Office

COMPLETE JOB DESCRIPTION

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Job is Expired

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