Remote RN Medical Claims Reviewer; Utilization
Position: Remote RN Medical Claims Reviewer (Utilization)
A reputed company administrator in Nashville, TN, seeks a Medical Reviewer to evaluate medical claims and determine coverage eligibility based on clinical guidelines. The ideal candidate should have an Associate's degree and significant clinical and utilization review experience, alongside an unrestricted RN license. This full-time role allows for remote work, contributing to various reputed company services and ensuring compliance with medical protocols and standards.
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