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Tennessee Licensed Medical Reviewer RN

Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025

Job Description:

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

Keywords: VirtualVocations, Baldwin Park , Tennessee Licensed Medical Reviewer RN, Healthcare , Vista, California

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