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New Jersey Licensed Medical Policy RN
A company is looking for a Remote Medical Policy Review RN. Key Responsibilities Provide timely and accurate responses to inquiries from claim policy teams regarding medical reviews and appeals Prepare cases for Medical Director and outside consultant review as necessary Identify opportunities for medical policy development and ensure correct application in claim payments Required Qualifications Must reside in NJ, PA, NY, DE, or CT Active RN license in NJ or NJ Compact Minimum of 3 years of RN experience in a clinical setting Experience with claims systems and coding Proficient in Microsoft applications and technology use
A company is looking for a Remote Medical Policy Review RN.
Key Responsibilities
Provide timely and accurate responses to inquiries from claim policy teams regarding medical reviews and appeals
Prepare cases for Medical Director and outside consultant review as necessary
Identify opportunities for medical policy development and ensure correct application in claim payments
Required Qualifications
Must reside in NJ, PA, NY, DE, or CT
Active RN license in NJ or NJ Compact
Minimum of 3 years of RN experience in a clinical setting
Experience with claims systems and coding
Proficient in Microsoft applications and technology use