RN Transplant Clinical Claims Reviewer

A company is looking for a Transplant Clinical Claims Review RN - Remote. Key Responsibilities Review claims related to transplant, gene therapy, and clinical trial services Evaluate claims for risk responsibility and forward to appropriate business segments for adjudication Complete retrospective utilization management reviews for transplant and clinical trial services Required Qualifications Current, unrestricted RN license in state of residence 2+ years of Critical Care experience in an Acute Care clinical setting 1+ years of experience with Transplant patients or ICU/critical care Proficient in MS Office (Word, Excel, Outlook) Ability to obtain RN licensure in specific states as required

Mar 31, 2025 - 18:31

A company is looking for a Transplant Clinical Claims Review RN - Remote. Key Responsibilities Review claims related to transplant, gene therapy, and clinical trial services Evaluate claims for risk responsibility and forward to appropriate business segments for adjudication Complete retrospective utilization management reviews for transplant and clinical trial services Required Qualifications Current, unrestricted RN license in state of residence 2+ years of Critical Care experience in an Acute Care clinical setting 1+ years of experience with Transplant patients or ICU/critical care Proficient in MS Office (Word, Excel, Outlook) Ability to obtain RN licensure in specific states as required