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RN Appeals Nurse Consultant
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
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