RN Appeals Nurse Consultant

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