Nezda Technologies Inc. is currently hiring for PHRN and USRN Roles – Virtual Process Only.
💰 Salary: Up to 68,000 + Sign on bonus
Qualifications:
✅ Active RN and USRN License.
✅ Must have 1 year Bedside experience.
✅ Can start ASAP.
Job Description:
📌 Conduct Non-Clinical Research to Support Determinations.
📌 Determine that the case is assigned to the appropriate team and health plan for review (e.g., Medicare, Medicaid, Commercial, Dual Special Needs Plan).
📌 Validate that cases/requests for services require additional research.
📌Review Existing Clinical Documentation.
📌 Identify and validate usage of non-standard codes, as necessary (e.g., generic codes).
