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Remote Clinical Appeals Nurse

Job is Expired
Location: Arizona
Compensation: To Be Discussed
Staff Reviewed: Mon, Aug 05, 2019
Job Category: Healthcare
Weekly Hours: Full Time
Employment Status: Permanent
Employer Type: Employer, Staffing Agency
Career Level: Experienced
Education Level: Some College

Job Summary

A staffing company needs applicants for an opening for a Remote Clinical Appeals Nurse.

Candidates will be responsible for the following:

  • Reviewing for Behavioral Health -Inpatient Appeal requests
  • Establishing care plans and coordinating care
  • Performing member outreach assessments

Skills and Requirements Include:

  • Active RN / Registered Nurse License in Arizona or
  • Active LPN / Licensed Practical Nurse License in Arizona
  • Associate Degree Required
  • Experience reviewing medical appeals, ICD-9, CPT codes
  • Knowledge of Milliman Guidelines

COMPLETE JOB DESCRIPTION

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