Nurse Consultant - Topeka
1 month ago

Job summary
This position is responsible for reviewing and processing predeterminations claims appeals and other inquiries utilizing independent decision making in accordance with medical policy standards of medical practice within contractual benefits.The Nurse Consultant will serve as a primary resource for internal staff throughout the company regarding medical policy correct coding medical necessity and other processes that relate to claims adjudication cost effectiveness predeterminations.
Benefits & Perks
- Base pay incentive pay program EPIP health vision dental insurance six weeks paid parental leave fertility adoption assistance two weeks paid caregiver leave five percent 401k plan matching tuition reimbursement health fitness benefits discounts resources.
Job description
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