California Licensed Clinical Appeals RN
VirtualVocationsGrand Rapids, Michigan, United Statesjob_description.job_card.30_days_ago
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- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Clinical Appeals RN - Remote (M-F working alternating Saturdays).
Key Responsibilities
Review medical records to verify service criteria compliance
Analyze pre-service appeals for clinical eligibility based on Plan benefits
Document determinations accurately while adhering to confidentiality regulations
Required Qualifications
Active, unrestricted RN license in state of residence
2+ years of clinical experience as an RN in an acute, inpatient hospital setting
Proficiency in Microsoft Office, including Word and Outlook
Availability M-F, 8 : 00-4 : 30 in their time zone and alternating Saturdays
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Clinical California • Grand Rapids, Michigan, United States
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