Noridian
Clinical Reviewer (RN) - REMOTE
This job is now closed
Job Description
- Req#: CLINI004610
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Salary up to $85,724.33
- Opportunity for career advancement and growth within the organization
- Work remotely from home
- Comprehensive benefits package including health, dental, and vision insurance
- Company-paid life insurance and education assistance program
- Casual dress code and open office setting
What to Expect (Job Responsibilities):
- Review, research, and analyze medical records for compliance with regulations
- Make accurate coverage and payment decisions using consistent evaluation standards
- Communicate decisions and provide education to stakeholders
- Identify potential fraud, waste, and abuse
- Collaborate with peers and leaders for quality assurance
What is Required (Qualifications):
- Current, active, unrestricted RN license in state of practice
- 2 years' clinical experience
- 1 year Microsoft Office experience
- Strong verbal and written communication skills
- Strong computer experience
How to Stand Out (Preferred Qualifications):
- Bachelor's degree in Nursing
- Experience evaluating medical records for compliance
- Experience in utilization review or case management
- Experience leading projects or initiatives
- Knowledge of coding
#HealthcareServices #ClinicalReviewer #RemoteWorkOpportunity #CareerGrowth #CompetitivePay
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
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
Noridian delivers the most dependable program administration to Center for Medicare & Medicaid Services, State Medicaid and Veterans Administration.
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.