Nurse Case Reviewer - Medicare Appeals

at Neil Hoosier Associates
Location Owings Mills, MD
Date Posted January 12, 2020
Category Compliance
Job Type Full-time


Registered Nurse (RN) with current license or other related field. Provide professional assessment of Medicare Advantage (Part C) and the Medicare Prescription Drug (Part D) programs Qualified Independent Contractor (QIC) medical necessity reconsideration case file clinical data to identify why the Part C/Part D plan decision was overturned in full, partially overturned, or upheld by the QIC and...