We are seeking an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud and abuse referrals.
You will apply clinical expertise and established coverage guidelines to determine medical necessity.

Qualifications:

Active, unrestricted RN license in the United States and in the state of hire, or compact multistate RN license.
Associate Degree in Nursing or graduate of an accredited School of Nursing.
Two years of clinical experience plus two years in inpatient/outpatient, utilization review, or medical review.

Compensation and Benefits:

Rate is $62,000 to $65,000 per year.
Benefits include 401(k) with company match, PTO that grows the longer you stay, Health, Vision, Dental, and Life Insurance.

Broadway Ventures

Broadway Ventures transforms challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, we empower clients with tailored solutions, operating with integrity and collaboration.

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