Job Description
Job Description
Large managed care company is looking for Clinical Review Nurses for a contract to hire position.
WORK LOCATION: FULLY REMOTE but must live in MA
PAY: $25.00
CONTRACT DATES: CONTRACT TO HIRE
HOURS: M-F, 8am-5pm
RESPONSIBILITIES
- Initiate and execute onsite/desk audits of LTSS providers.
- Conduct audit reviews based on materials collected.
- Prepare findings and present to client.
- Prepare provider notifications.
- Review provider disputes and appeals, as applicable.
QUALIFICATIONS
- Associates Degree
- Active nursing license
- Must reside in Massachusetts
- Able to travel locally up to 25%
- Project management skills
- Experience using MS Office, including and especially Excel
#ZR