• VirtualVocations
  • Grand Rapids, MI
  • Telecommuting/Work-At-Home
  • Full-Time
  • 1649 8th St NW

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A provider of enterprise solutions and services is searching for a person to fill their position for a Telecommute Medical Review Specialist III.Must be able to: Perform comprehensive medical record and claims reviewUtilize electronic health information imaging and inputs medical review decisionsUtilize internet and intranet sources for policy verificationRequired Skills:Must have and maintain a valid state driver s license for the state of residence3 years clinical experience as a Registered Nurse4 years federal and local policy applications in relation to insurance procedures for medical necessityCurrent licensure as a Registered Nurse in one or more of the 50 states or D.C.Ability to keep sensitive and confidential material privateMust have no adverse actions pending or taken against him/her by any State or Federal licensing board

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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