Virtual Appeals Registered Nurse

Job ID: Available for Members

Location: Idaho

Compensation: To Be Discussed

Posted: Wednesday, August 22, 2018

Job Category: Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Independent Contractor

Employer Type: Staffing Agency

Career Level: Experienced

Job Summary

A staffing agency is seeking a Virtual Appeals Registered Nurse.

Core Responsibilities of this position include:

  • Reviewing member and provider appeals submitted from Customer and Provider Services
  • Creating episodes in UM system for management and documentation of the clinical review process
  • Reviewing correspondence and medical records autonomously

Must meet the following requirements for consideration:

  • Idaho nursing license
  • Coding experience
  • 1 year Hospital/clinical experience
  • 1+ year experience as an appeals nurse