Nursing, Pharmacy, & Health Services - Nurse RN 5

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