Licensed Clinical Claim Review RN

Job Summary

A company is looking for a Clinical Claim Review RN - Medical Disability for a remote position.

Key Responsibilities:

• Evaluate and process patient health information to determine outcomes for various types of medical and specialty exams
• Conduct a clinical review of examination documentation, test results, assessments, and information to provide a clear, comprehensive, and concise final product
• Collaborate with providers to ensure examination meets regulatory and contractual requirements for compensation and benefit rating purposes

Required Qualifications:

• Accredited Associate's Degree in Nursing (ADN) OR Bachelor's Degree in Nursing (BSN)
• Current RN license in your state of residency
• 2+ years of experience in a clinical environment as a Registered Nurse
• Experience working in an Electronic Medical Record system
• Understanding/knowledge of regulatory standards and their application to various examinations and documents