Job Summary
A health and dental insurance provider is searching for a person to fill their position for a Remote Appeals Nurse Consultant.
Candidates will be responsible for the following:
- Review complaint/appeal requests of all clinical and benefit documentation
- Consider all previous information as well as any additional records/data presented
- Accurately applies review requirements to assure case is reviewed
Must meet the following requirements for consideration:
- RN licensure required
- 3+ years clinical experience
- Utilization management experience preferred