Virtual NGS Clinical Review Nurse I

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Posted: Thursday, December 06, 2018

This job expires in 25 days

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A healthcare company needs applicants for an opening for a Virtual NGS Clinical Review Nurse I.

Candidates will be responsible for the following:

  • Making clinical determinations for payment supporting claims submitted to Medicare
  • Assessing and ensuring services/items billed are reasonable and necessary
  • Adapting to a wide variety of medical review topics and multiple Medicare lines of business

Qualifications for this position include:

  • Two (2) years’ clinical experience
  • Excellent communication skills
  • Demonstrated prioritization, problem solving, and organization skills.
  • Strong computer skills, including Microsoft Office proficiency
  • Demonstrated proficiency as a Clinical Reviewer or equitable position