Nurse Practitioner, Authorization Clinical Reviewer

4 weeks ago


Morristown, Tennessee, United States Atlantic Health System Full time
Job Summary:

Atlantic Health System is seeking a highly qualified and experienced Nurse Practitioner to support Atlantic Medical Group Primary Care as an Authorization Clinical Reviewer. This non-clinical, part-time, and fully remote position requires the nurse practitioner to work 22.5 hours per week, reviewing patient information to ensure treatment and services provided fall within the plan's guidelines.

Key Responsibilities:

• Review patient information to ensure compliance with plan guidelines
• Manage up to 30 accounts per day
• Conduct peer-to-peer review and appeal denials as necessary

Requirements:

• Graduated from an accredited Nurse Practitioner program
• Licensed or eligible for licensure in New Jersey
• BLS certification required
• 2-3 years of reviewing insurance authorization and appealing denials
• EPIC experience preferred

Benefits:

• Competitive salary
• Robust benefits package
• 403b retirement plan with company match
• Comprehensive Malpractice Policy
• Eligible for Federal Student Loan Forgiveness
• Generous PTO and paid holidays
• CME allowance and reimbursement for CDS/DEA, licensing, and boards
• Tuition reimbursement for advanced degrees
• Outstanding growth and mentorship opportunities
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