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RN Medical Review #686

Blue Cross of Idaho-Meridian, ID, 83642

POSITION PURPOSE: Under limited supervision, support the medical and quality management initiatives through the appropriate payment of claims, inquiries and appeals for all product lines.. Job Requirements: MINIMUM POSITION REQUIREMENTS: Required Experience: · Five years acute medical surgical nursing · One year of physician procedural coding and/or inpatient and outpatient commercial and Medicare coding · One year utilization management experience including medical necessity determination and discharge planning Required Certifications/Licenses: · Valid Idaho Registered Nurse License Requir...
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