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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      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company