Utilization Review RN - Appeals/Denied Medical Necessity Claims

This job is no longer active. View similar jobs.

POST DATE 8/31/2016
END DATE 11/17/2016

ALL's WELL Miami, FL

Company
ALL's WELL
Job Classification
Full Time
Company Ref #
23100047.21602206
AJE Ref #
576031631
Location
Miami, FL
Job Type
Regular
Required Licenses/Certifications
df-aj

JOB DESCRIPTION

APPLY
This Utilization Review RN - Appeals/Denied Medical Necessity Claims

Contract position for an experienced Utilization Review RN with strong experience writing appeals on denied medical necessity claims.

Required to have previous experience working with and knowledge of InterQual & Milliman Criteria guidelines,

$38h
8h day shifts - Monday to Friday 8:00am-4:30pm

Working in the business office of Hospital or Corporate office location in Miami

? BSN required
? Clear/Active FL RN license.
? 2 yrs recent experience in UR Management, no exceptions.
? BLS - AHA required
? Bilingual English/Spanish highly preferred
? Must pass a 10 panel drug screen & 7 year criminal Background
? Must provide: Physical, Negative PPD or Chest X-Ray, Rubella,
Rubeola, Mumps, Varicella, Hepatitis B

This is a position for an experienced UR RN who has strong experience writing appeals on denied medical necessity claims and be knowledgeable with InterQual & Milliman Criteria guidelines.
We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.