Remote
•
7d ago
MedicalReviewNurseRemoteSeeking Registered Nurse for fully remote role to perform complexmedicalrecord and claimreviews (Standard or Program Integrity) to make coverage determinations based on applicable Medicare coverage policies and payment rules, coding guidelines, National and Local Coverage Determinations, utilization/practice guidelines, clinicalreviewjudgment and when appropriate, monitor for potential indicators of fraud, waste, and abuse. Provides professional assessment, planning, coor
Easy Apply
Full-time
80,000 - 90000


