Clinical Nurse Specialist
United StatesRemote (US)mid$67K – $96K
Posted 4 days ago · via Workday
About this role
Job Responsibilities and Requirements KEY RESPONSIBILITIES *other duties as assigned* Job Summary : Reviews all medical (and other) documentation in claim files to answer the specific questions posed by claims examiners and managers. Coordinates and monitors independent medical examinations, peer reviews and functional capacity evaluations. Duties and Responsibilities : · Determines whether questions posed by claims examiners and/or management can be appropriately addressed by the Clinical Nurse Specialist . If not, refer the file to the appropriate member of the Technical Support team or return the file with a complete explanation. · Ensures that appropriate files are presented to physicians and/or specialists for review.…
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What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
We compare your skills against the role requirements.
2
Level fit
This role is mid-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible. We factor in your stated location and time-zone overlap.
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