Registered Nurse, Health Plan Appeals
Somerville, MA
PRIDE Health
5x8 hrs, Days
Referral Bonus
$2,249/weekOverview
- Start DateASAP
- Shift Breakdown5x8 hrs
- ShiftDays
- Duration13 weeks
- SettingClinic
Pay
Benefits
- Weekly pay
- Holiday Pay
- Guaranteed Hours
- 401k retirement plan
- Cancelation protection
- Referral bonus
- Medical benefits
- Dental benefits
- Vision benefits
Qualifications
- Registered Nurse (1 year)
- Skills Checklist
- Updated Resume
Description
Registered Nurse - Appeals
Location: Somerville, Massachusetts
Employment Type: Long-Term Assignment (LTA)
Work Schedule: Monday to Friday, 100% remote
Contract Length: 13 weeks
Job Description
Seeking a Registered Nurse with experience in payor settings, specifically with Commercial and Medicaid health plans. The role involves working closely with medical directors on case reviews and decisions related to health plan appeals. Candidates with at least 2 years of health plan appeals experience are preferred. There is potential for this position to become permanent for the right candidate.
Required Qualifications
- Valid Registered Nurse (RN) license in Massachusetts
- Utilization Review experience within the last year (minimum 1 year)
- Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
- Current Basic Life Support (BLS) certification issued by the American Heart Association or American Red Cross
Additional Information
- Prior travel experience is not specified as required for this role.
Employer
PRIDE Health
57 nurses recommend working with PRIDE Health
Pros
Nenshi is a wonderful recruiter. Very detailed and thorough. Top tier communication.
Cons
I have not experienced any negative feedback.
Recommends working with PRIDE Health
Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Somerville, MA
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