serp_jobs.error_messages.no_longer_accepting
Registered Nurse Appeals Consultant
VirtualVocationsAkron, Ohio, United Statesjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for an Appeals Nurse Consultant - Fully Remote.
Key Responsibilities
Administers review and resolution of clinical complaints and appeals
Interprets clinical data to apply appropriate criteria and policies in compliance with regulations
Coordinates clinical resolutions with internal and external support areas
Required Qualifications
Registered Nurse with an unrestricted license in the state of residence
3+ years of clinical nursing experience, with 1-3 years in managed care or related fields
1+ year of experience with ICD-9, CPT coding, and HCPC
1+ years of knowledge of clinical and medical policy, MCG, InterQual, and applicable regulations
Associate degree in Nursing required; BSN preferred
serp_jobs.job_alerts.create_a_job
Registered Nurse • Akron, Ohio, United States
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