Remote Grievances and Appeals Registered Nurse

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Mon, Feb 10, 2020

Job Summary

A healthcare company is filling a position for a Remote Grievances and Appeals Registered Nurse.

Core Responsibilities Include:

  • Acting as a member advocate addressing member or provider concerns
  • Analyzing, reviewing and evaluating appeals and grievances
  • Researching, investigating and summarizing complex issues

Qualifications for this position include:

  • Quarterly travel for team events and trainings
  • Active, unrestricted Registered Nurse license
  • Minimum of 2 years of appeals experience in a payer-based environment
  • Minimum of 5 years of acute care or outpatient clinical experience
  • Minimum of 3 years of utilization management experience in a payer-based environment          
  • Excellent written and oral communication skills

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