A health insurance company is filling a position for a Telecommuting NV Medicaid Nurse. Individual must be able to fulfill the following responsibilities: Conduct pre-certification and appropriateness of treatment setting reviews.
Assuring each supervisor provides one to one support and QA monitor for nurses, assisting with analysis and problem solving. Analyzing patterns and trends of denial decisions and implementing strategic changes to respond to the payer behavior. Applicants must meet the following qualifications: