Remote Clinical Appeals RN

Job Summary

Large healthcare company is seeking a Remote Clinical Appeals RN.

Must be able to:

• Analyze/review Clinical Operations Analysis
• Analyze Clinical Appeals and Grievances
• Assesses and interpret customer needs and requirements

Skills and Requirements Include:

• A current, valid and unrestricted RN licensure in your state of residence
• 1 year Utilization Review, Case Management or Medical Appeal Review experience
• Undergraduate degree or equivalent experience
• Strong Microsoft Office (Word, Excel & Outlook)
• 5 years clinical experience in an acute care or an outpatient setting
• Must have access to high speed internet