RN Appeals Nurse Consultant

Job is Expired

Location: Remote

Compensation: Hourly

Reviewed: Wed, Oct 22, 2025

Job Category: Healthcare

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced, Senior Level

Education Level: Some College

Job Summary

A company is looking for an Appeals Nurse Consultant - Work From Home.

Key Responsibilities

Review and resolve clinical appeals by interpreting data and applying clinical criteria
Coordinate clinical resolutions with internal and external clinician support as needed
Support various types of appeals including UM, MPO, Coding, or Behavioral Health

Required Qualifications

Active and unrestricted RN licensure in state of residence
3+ years of clinical experience
Minimum of an Associate's Degree

COMPLETE JOB DESCRIPTION

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Job is Expired

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