Tennessee Licensed Medical Reviewer RN
A company is looking for a Registered Nurse Medical Reviewer II (DME Medicare). Key Responsibilities Perform medical claim reviews and make payment determinations based on clinical information and established guidelines Document medical rationale for service coverage and educate staff on medical reviews and coding procedures Participate in quality control activities and provide guidance to team members Required Qualifications Education: Associate degree in Nursing or Graduate of an accredited School of Nursing Work Experience: Two years of clinical experience as a Registered Nurse License: Active RN licensure in the state hired or active compact multistate RN license Working knowledge of word processing software and Microsoft Office Ability to work independently and prioritize effectively
