Remote Medical Reviewer II: Claims & Compliance
A healthcare insurance provider is looking for a Medical Reviewer II to perform medical reviews using clinical information and established guidelines. This position is fully remote and requires an Associate's degree and 2 years of clinical experience. Applicants must possess an active RN license. Responsibilities include reviewing complex medical claims and educating staff, along with participating in quality control activities.
The role offers a comprehensive benefits package including health plans, retirement savings, and education assistance.
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