CareFirst BlueCross BlueShield
Clinical Appeals Nurse (Remote)
PayCompetitive
LocationOwings Mills/Maryland
Employment typeFull-Time
This job is now closed
Job Description
- Req#: 14169175
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Competitive salary up to $70,000
- Comprehensive benefits package including health, dental, and vision insurance
- Opportunities for career advancement and professional growth within the organization
- Supportive and collaborative team environment
- Chance to work with cutting-edge medical management technology
- Remote work flexibility available
What to Expect (Job Responsibilities):
- Conduct medical management activities to optimize member outcomes
- Collaborate with healthcare providers to ensure quality and cost-effective care
- Review and analyze medical information to make informed decisions
- Utilize data and technology to improve healthcare processes
- Ensure compliance with regulatory guidelines and company policies
What is Required (Qualifications):
- Bachelor's degree in a healthcare-related field
- Active RN license in the state of Maryland
- Minimum of 3 years of experience in medical management or a related field
- Strong analytical and critical thinking skills
- Excellent communication and interpersonal abilities
How to Stand Out (Preferred Qualifications):
- Certification in Case Management
- Experience working with healthcare technology platforms
- Knowledge of healthcare laws and regulations
- Advanced degree in healthcare administration or a related field
#HealthcareServices #MedicalManagement #CareerGrowth #RemoteWork #CuttingEdgeTechnology
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