Utilization Review RN - Appeals/Denied Medical Necessity Claims
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,
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.