Posted: Tuesday, February 6, 2018 8:51 AM
RN Medical Reviewer II**Position Summary**+ Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines.+ Documents decisions using indicated protocol sets or clinical guidelines.+ Provides support and review of medical claims and utilization practices.**Required Education**+ Associate degree in nursing, **OR**+ Graduate of an accredited school of nursing.**Required Work Experience**+ Two years of clinical experience.+ Medicare experience.**Required Skills and Abilities**+ Working knowledge of word processing software.+ Ability to work independently, prioritize effectively and make sound decisions.+ Good judgment.+ Demonstrated customer-service and organizational skills.+ Demonstrated oral and written communications skills.+ Analytical or critical-thinking skills.+ Ability to handle confidential or sensitive information with discretion.+ Microsoft Office skills.+ Active RN license in state hired, **OR**+ An active, compact, multistate RN license as defined by the Nurse Licensure Compact (NLC).**Work City** Columbia**Work State** SC**EEO Statement**We are an Equal Opportunity/Affirmative Action Employer. We will consider all qualified applicants for employment regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status.
• Location: Columbia
• Post ID: 27858802 columbia