Appeals Nurse 2

Job is Expired
Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Wed, May 08, 2024

Job Summary

A company is looking for an Appeals Nurse.

Key Responsibilities:
  • Review medical documentation and coordinate peer reviews
  • Provide education to beneficiaries and providers on review processes
  • Maintain knowledge of TRICARE policies and medical necessity criteria

Required Qualifications:
  • Active unrestricted RN license
  • 3 years of clinical RN experience
  • Proficiency in Microsoft Office products
  • Experience with appeals/utilization review and TRICARE contracts
  • Bachelor's degree preferred

COMPLETE JOB DESCRIPTION

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