Member/Non-Par Provider Appeals Nurse Consultant, Weekends

This is a fully remote position, open to applicants in Connecticut.

📋 Description

• Evaluating the medical necessity of Medicare Part C appeals from members and providers.

• Requesting clinical information and conducting research to extract relevant clinical data.

• Applying the appropriate Medicare Guidelines effectively.

• Navigating various computer system applications within a fast-paced department.

• Collaborating independently and as part of a team in a remote work setting.

⛳️ Requirements

• Must possess an active and unrestricted RN license in the state of residence.

• Exceptional verbal and written communication abilities.

• Strong organizational skills are essential.

🏝️ Benefits

• Medical, dental, and vision insurance coverage.

• Paid time off for personal use.

• Options for retirement savings.

• Access to wellness programs.

• Additional resources available based on eligibility.