Qlarant, a nonprofit organization, seeks a Nurse Specialist II to perform medical record and claims review for Medicare, Medicaid, and other data. This remote role in the United States involves ensuring adherence to guidelines while assessing for overpayment, fraud, waste, and abuse.
Minimum Bachelor's degree plus 2–4 years of experience (5–7 years preferred) and RN licensure are required. The position requires collaboration with investigators, clinicians, and training of staff as needed, with
#J-18808-LjbffrRN Medical Review & Fraud Prevention Specialist II (Remote) in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.