Transplant Clinical Claims RN
Company: VirtualVocations
Location: Santa Barbara
Posted on: November 19, 2024
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Job Description:
A company is looking for a Transplant Clinical Claims Review RN
to perform retrospective clinical claim reviews related to
transplant and gene therapy services.
Key Responsibilities
Review claims to determine their relation to transplant, gene
therapy, and clinical trial services
Evaluate claims for risk responsibility and forward them to the
appropriate business segment for adjudication
Complete retrospective utilization management reviews related to
transplant and clinical trial services
Required Qualifications
Current, unrestricted RN license in state of residence, with
willingness to obtain additional state licenses
2+ years of experience in an Acute Care (Inpatient) clinical
setting
1+ years of experience with transplant patients in a clinical
setting
Proficient in MS Office applications (Word, Excel, Outlook)
Ability to work from a location with high-speed internet access
Keywords: VirtualVocations, Los Angeles , Transplant Clinical Claims RN, Healthcare , Santa Barbara, California
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