![Building A Digital PR Strategy: 10 Essential Steps for Beginners [With Examples]](https://buzzsumo.com/wp-content/uploads/2023/09/Building-A-Digital-PR-Strategy-10-Essential-Steps-for-Beginners-With-Examples-bblog-masthead.jpg)
![How One Brand Solved the Marketing Attribution Puzzle [Video]](https://contentmarketinginstitute.com/wp-content/uploads/2025/03/marketing-attribution-model-600x338.png?#)
Illinois and Wisconsin RN Medical Claim Reviewer
A company is looking for a Medical Claim Review Nurse (RN) Remote IL & WI. Key Responsibilities Conducts clinical reviews of medical claims and appeals to ensure medical necessity and accurate billing Identifies quality of care issues and assists with complex claim reviews Documents findings and provides clinical support for denial or modification of payment decisions Required Qualifications Graduate from an Accredited School of Nursing Minimum 3 years of clinical nursing experience Minimum 1 year of experience in Utilization Review and/or Medical Claims Review Active, unrestricted State Registered Nursing (RN) license in good standing Familiarity with state/federal regulations
A company is looking for a Medical Claim Review Nurse (RN) Remote IL & WI.
Key Responsibilities
Conducts clinical reviews of medical claims and appeals to ensure medical necessity and accurate billing
Identifies quality of care issues and assists with complex claim reviews
Documents findings and provides clinical support for denial or modification of payment decisions
Required Qualifications
Graduate from an Accredited School of Nursing
Minimum 3 years of clinical nursing experience
Minimum 1 year of experience in Utilization Review and/or Medical Claims Review
Active, unrestricted State Registered Nursing (RN) license in good standing
Familiarity with state/federal regulations