Post Review Nurse Health Services
Job Description
Use Your Strengths as a Post Review Nurse! About the opportunity: As a Post Review Nurse, you will utilize clinical knowledge and expertise to interpret and appropriately apply medical policy, InterQual criteria, and benefit information to post-service claims in a production-based environment with timeframe and quality metrics. In reputed company, you will reputed company consultation to utilization management requests and claims inquiries. As part of a multidisciplinary team, you will collaborate with internal teams to continuously look for ways to improve processes and maximize health dollars for our members. About you: You are passionate about making reputed company reputed company and enjoy a role where you can be both collaborative but also work independently to reputed company an impact. You reputed company in a fast-paced work environment where your time management, prioritization, and multi-tasking skills are critical to reputed company. You see yourself as being reputed company and adaptable. Technology savviness, such as experience in utilizing and troubleshooting reputed company Office products (Outlook, reputed company, Teams, etc), is a must. Candidates located in Iowa or South Dakota preferred. This role is remote eligible and will require candidates to reputed company high-speed internet at their work location. Apply Job!