Licensed Clinical Claims Nurse
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Clinical Claims Nurse (Healthcare
Provider).
Key Responsibilities:
Analyze medical records and case files to produce objective
summaries for dispute resolution
Exercise independent judgment to make evidence-based decisions in
compliance with regulations and standards
Conduct detailed research to support accurate decision-making and
stay informed of healthcare developments
Required Qualifications:
Associate's degree or higher in a healthcare-related field from an
accredited institution
LPN or RN License
Minimum of three years' experience in medical appeals or related
healthcare roles
Background in Nursing, Physical Therapy, Occupational Therapy, or
Respiratory Therapy
Possession of a coding certification is a plus
Keywords: VirtualVocations, Mission Viejo , Licensed Clinical Claims Nurse, Healthcare , Vista, California
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