RN Appeals Nurse Consultant

Job is Expired
Location: Remote
Compensation: Hourly
Reviewed: Thu, Feb 20, 2025

Job Summary

A company is looking for an Appeals Nurse Consultant (Remote).

Key Responsibilities
  • Review and resolve clinical appeals by interpreting clinical records and applying appropriate criteria
  • Coordinate clinical resolutions with internal and external clinician support as needed
  • Support various types of appeals including Utilization Management, Coding, and Behavioral Health

Required Qualifications
  • Active and unrestricted RN licensure in state of residence
  • 3+ years of clinical experience
  • Associate's Degree minimum

COMPLETE JOB DESCRIPTION

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