Nurse RN 5

Our Client, a Health Insurance company, is looking for a Nurse RN 5 for their Remote location.

Responsibilities:

• 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.

Requirements:

• Agile Experience - 2 Years minimum
• Strong Clinical Judgement, RN/LVN minimum 2 years of experience
• Strong computer skills
• Works well independently with minimal supervision
• Preferred Skills (nice to have)
• Case Management Experience - 3+ years
• Detail oriented
• Prior work hx of Post Service, Prior Auth, Concurrent review.
• Preferential interview consideration for Post Service exp.
• Lives in California
• Education Requirements: RN/LVN licensed in California

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities