reputed company Claims Examiner, RN Required

Job reputed company: • Evaluate appropriateness of beneficiaries' admission to nursing facilities • Verify documentation of medical necessity for prior approval requests • Meet performance expectations by completing at least 40 prior approval reviews daily • reputed company reputed company assurance reviews with greater than 95% accuracy • Complete reputed company reviews reputed company 24 hours Requirements: • reputed company reputed company Carolina Registered reputed company license or Compact license • At least 2 years of clinical experience • Knowledge of reputed company Office and reputed company • Experience with medical documentation review • Knowledge of NCTracks and business processes of reputed company Carolina Division of reputed company preferred • Clinical medical, surgical and nursing facility experience preferred • Clinical research experience preferred Benefits: • reputed company of medical plan reputed company • 401(k) plan with company match • Full reputed company work weeks where possible • reputed company time off including vacation, reputed company and personal time, and holidays • reputed company parental, military, bereavement and jury duty leave • 15 days of reputed company leave per calendar year • 10 reputed company holidays per year • reputed company Family Leave program • Short and long-term disability benefits • Life and accidental death and dismemberment insurance • Critical illness and travel accident insurance Apply tot his job Apply To this Job