Nurse Practitioner, Authorization Clinical Reviewer
Atlantic Health System
Atlantic Health System is Seeking a Nurse Practioner for a Part-Time Authorization Clinical Review Position (Non-Clinical, Remote)
Atlantic Health System, one of New Jersey's largest non-profit healthcare networks, is seeking a highly qualified and experienced Nurse Practioner to support Atlantic Medical Group Primary Care as an Authorization Clinical Reviewer. This role is non-clinical, part-time, and fully remote after training. This position requires the nurse practioner to work remotely 22.5 hours per week (3, 7.5-hour days).
As an Authorization Clinical Reviewer, the nurse practioner will be responsible for supporting Atlantic Medical Group’s Primary Care practices, managing up to 30 accounts per day. The nurse practioner will review patient information to ensure treatment and services provided falls within the plan’s guidelines. The nurse practioner will be responsible for peer-to-peer review, appealing denials as appropriate.
Qualifications
+ Graduated from an accredited Nurse Practitioner program
+ Must be licensed or eligible for licensure in New Jersey
+ BLS certification is required
+ 2-3 years of reviewing insurance authorization and appealing denials required
+ EPIC experience preferred
+ Strong work ethic and a team player who can work independently
Benefits
+ Competitive salary
+ Robust benefits with health, dental, Rx and vision plans
+ 403b retirement plan with company match
+ Comprehensive Malpractice Policy
+ Non-Profit Health System – eligible for Federal Student Loan Forgiveness
+ Generous PTO, annual sick days, and paid holidays
+ CME allowance and reimbursement for CDS/DEA, licensing, and boards
+ Tuition reimbursement for advanced degrees
+ Outstanding growth & mentorship opportunities
Please apply for more information.
Confirm your E-mail: Send Email
All Jobs from Atlantic Health System