Member/Non-Par Provider Appeals Nurse Consultant, Weekends

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Job Description:

  • processing the medical necessity of Medicare Part C appeals from both members and providers
  • requesting clinical, research, extrapolating pertinent clinical
  • applying appropriate Medicare Guidelines
  • navigating through multiple computer system applications in a fast paced department
  • working independently as well as in a team environment while working remotely

Requirements:

  • Must have active and unrestricted RN licensure in state of residence
  • Excellent verbal and written communication skills
  • Strong organizational skills

Benefits:

  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • other resources, based on eligibility
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