Nursing, Pharmacy, & Health Services - Nurse RN 5
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Overview
Job Description
Job Description:
Job Title: Nurse RN 5• Duration: 3+ months with likely extension• Location: Remote - CA• Work Schedule: Monday Friday | 8:00 AM 4:30 PM / 5:00 PM (depending on 30-minute or 1-hour lunch)• Max Pay Range: $45-55 Per hr. on w2.
In this role the nurse will review clinical claims and determine if the retrospective claims should be paid according to our benefits and/or policy.
Required Skills:
- Strong Clinical Judgement, RN 5+ years of experience
- Strong computer skills
- Works well independently with minimal supervision
Preferred Skills:
- Detail oriented
- Prior work of Post Service, Prior Auth, Concurrent review.
- Preferential interview consideration for Post Service exp.
Disqualifiers/ Dislikes on Resumes:
- Incomplete resumes with gaps in time or hasn't worked in a role recently
Software Skills Required:
- MS Office Suite apps, EMR Systems, etc
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