Denials Management Registered Nurse (RN) - Remote

Hiring Bonus for Qualified RN!

Join Community
Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you.

Make a Difference
As a Denials Management Nurse, you will research, analyze, document and appeal third party payer denials involving medical necessity or clinical issues.

Exceptional skills and qualifications

• 5 years of clinical experience

• 1-3 years Case management

• 1-3 years experience with Third party payer (Medicare) preferred

• A working knowledge of the following: Utilization Management and Review, Clinical
  and Patient Financial Documentation Systems, Level of Care review, criteria Payer Appeals guidelines, Regulatory
  guidelines,Transitional Care (Required)

License and Education

• Graduate of National League for Nursing or Commission on Collegiate Nursing Education accredited school of nursing. Bachelor of Science in Nursing is required 

• Licensed as a Registered Nurse by the Indiana Professional Licensing Agency required
  
  

   

  This is a REMOTE position. Community caregivers performing work remotely are permitted to live in the following states: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date