Clinical Medical Review Nurse; Remote

RESP & QUALIFICATIONS Purpose

The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication. The incumbent will handle pre claim medical review for Commercial lines of business. This position assists in determining acceptable medical risk to the organization by analyzing medical information of applicants for enrollment in specific policies.

This role will also understand the merits of legal or accreditation actions.

We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a Care First location periodically for meetings, training and/or other business-related activities. The ideal candidate will have previous experience making clinical decisions related to pre claim submission and/or appeals and grievances within a health payer organization.

• Receives, research, reviews and analyzes professional and institutional claims using critical thinking, nursing clinical judgment and corporate/medical policies for claims processing and/or adjudication. Performs high-level research on topics identified as actual or potential medical policies. Assesses and communicates impact of information on medical policy.
• Provides pricing of procedure codes which require individual consideration or are listed as not otherwise classified in CPT manual. Interprets the descriptive or medical information utilizing the CPT and HCPCS manuals.
• Participates in medical policy meetings, nurses' forums, and review sessions with Medical and Dental directors, special projects and task forces committees as assigned.

Education Level: Bachelors Degree in Nursing OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Licenses/Certifications Upon Hire

Required:

• RN
  - Registered Nurse
  - State Licensure And/or Compact State Licensure RN-VA, DC and or MD.

Experience: 3 years acute clinical experience, previous case management, discharge planning or utilization review experience.

Preferred Qualifications:

• Bachelor's degree in Nursing.
• Previous experience making clinical decisions related to pre claim submission and/or appeals and grievances within a health payer organization.

• Ability to effectively communicate and provide positive customer service to every internal and external customer.
• Strong interpersonal skills. Ability to work independently, as well as a member of a team.
• Current knowledge of clinical practices and related medical policies.
• Strong organizational skills, ability to prioritize responsibilities with attention to detail.
• Experience in using Microsoft Office (Excel, Word, Power Point, etc.) and web-based technology.
• Must possess excellent verbal and written communication skills.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

$67,320 - $133,705

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location.

In addition to your compensation, Care First offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Care First Blue Cross Blue Shield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Note:

The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

The associate is primarily seated while performing the duties of the position. Occasional…