RN Appeals Nurse ConsultantVirtualVocations • Escondido, California, United States
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RN Appeals Nurse Consultant
VirtualVocations • Escondido, California, United States
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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
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Nurse Consultant • Escondido, California, United States
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