Nurse Practitioner, Authorization Clinical Reviewer

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 Jerseys 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.