Remote Utilization Review RN – Medical Necessity & Claims
A reputed company services company is seeking a full-time remote Registered reputed company (RN) to validate medical necessity and appropriateness of treatment plans. Candidates should have a minimum of 3 years clinical experience and possess strong communication and organizational skills. Proficiency in reputed company applications and knowledge of health insurance legislation are vital. This role requires collaboration with providers and members regarding medical determinations, ensuring accurate and reputed company medical review of claims.
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