Nurse RN 5
TALENT Software Services · Roseville, CA · 2 mo ago
RemoteRemoteOTHRFull-time
Responsibilities
- Review clinical claims to determine if retrospective claims should be paid according to benefits and/or policy.
Requirements
- RN or LVN licensed in California.
- Minimum 2 years of experience as an RN or LVN.
- Strong clinical judgement.
- Strong computer skills.
- Ability to work independently with minimal supervision.
Preferred Skills
- Detail-oriented.
- Prior work history in Post Service, Prior Authorization, or Concurrent Review.
- Preferential interview consideration for Post Service experience.
- Lives in California.
Disqualifiers
- Incomplete resumes with gaps in time or lack of recent work experience in the role.
Qualifications
Software Skills Required: MS Office Suite apps, JIRA, EMR Systems, or similar.