Clinical Denial Nurse

Guidehouse • San Diego, CA

2d • $74,000 - $124,000

About The Position

Review post claim clinical appeals Evaluate CV/DRG Downgrade opportunities Track and Trend for new trends

Requirements

• Current Registered Nursing License (Home State)
• Bachelor’s Degree (Relevant experience may be substituted for formal education or advanced degree)
• 4+ years of clinical experience

Nice To Haves

• Bachelor's Degree Nursing

Responsibilities

• Review post claim clinical appeals
• Evaluate CV/DRG Downgrade opportunities
• Track and Trend for new trends

Benefits

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level