Virtual Registered Nurse Clinical Review Specialist

Job ID: Available for Members

Location: Minnesota

Compensation: To Be Discussed

Posted: Friday, March 02, 2018

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Employment Status: Independent Contractor

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare cost engagement tools company has a current position open for a Virtual Registered Nurse Clinical Review Specialist.

Core Responsibilities of this position include:

  • Interfacing with customers by telephone or correspondence to answer questions and resolve issues
  • Monitoring, tracking and reporting on all case work
  • Processing and/or reviewing claims in a timely manner

Must meet the following requirements for consideration:

  • Minimum of 5 years clinical experience
  • Ability to use MS Office to include Excel
  • RN required, with related clinical review experience
  • Working knowledge of coordination of benefits and medical claims processing