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