Clinical Claims Review Nurse. On-site, Texas

CVS Health is hiring for "Clinical Claims Review Nurse" in Texas. The job is full-time, 40 hours a week. Pay runs from $29.10 to $62.32 per hour. The schedule is Monday to Friday, 8am to 5pm.

What you'll do

• Review and interpret clinical documentation
• Apply clinical criteria to post-service claims
• Coordinate clinical resolutions with clinician support
• Act as resource for claims processing teams
• Train new and existing staff members

Requirements

• 5+ years clinical experience
• 2+ years experience as registered nurse
• Proficiency in Microsoft Office products
• Experience using Internet Explorer and Chrome
• Utilization Management review (preferred)
• Managed Care experience (preferred)
• Client processing experience (preferred)