Clinical Appeals Nurse

Location: Remote
Compensation: Salary
Staff Reviewed: Sat, Mar 30, 2024
This job expires in: 11 days

Job Summary

A company is looking for a Clinical Appeals Nurse (PRN).

Responsibilities
  • Prepare clinical appeals in response to medical necessity denials and DRG reassignments
  • Utilize industry guidelines and Medicare policies for reviewing medical records and writing appeals
  • Participate in Administrative Law Judge Hearings to reverse Medicare denials

Qualifications
  • Bachelor of Science degree in Nursing
  • Current state RN licensure
  • 5 years of clinical experience in an acute care setting
  • 3 years of case management, concurrent review, or utilization management experience
  • Proficiency in medical record review

COMPLETE JOB DESCRIPTION

The job description is available to subscribers. Subscribe today to get the full benefits of a premium membership with Virtual Vocations. We offer the largest remote database online...

BECOME A PREMIUM MEMBER TO
UNLOCK FULL JOB DETAILS & APPLY

  • ACCESS TO FULL JOB DETAILS AND APPLICATION INFORMATION
  • HUMAN-SCREENED REMOTE JOBS AND EMPLOYERS
  • COURSES, GROUP CAREER COACHING AND RESOURCE DOWNLOADS
  • DISCOUNTED CAREER SERVICES, RESUME WRITING, 1:1 COACHING AND MORE
  • EXCELLENT CUSTOMER SUPPORT FOR YOUR JOB SEARCH