California Licensed Clinical Appeals RN
VirtualVocationsNewark, Delaware, United Statesjob_description.job_card.30_days_ago
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A company is looking for a Clinical Appeals RN - Fully Remote.
Key Responsibilities
Review medical records to verify service criteria and clinical eligibility for coverage
Coordinate reviews with the Medical Director and document determinations accurately
Adhere to confidentiality regulations while interpreting Plan language
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 for 5-day work weeks, including weekdays and alternating weekends
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Clinical California • Newark, Delaware, United States
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