Remote Clinical Appeals Nurse Complex Appeals & Hearings

A healthcare organization is seeking a Clinical Appeals Nurse to process clinical appeals and attend state hearings. The ideal candidate must have an Associate's Degree and an active RN license. This role demands strong clinical judgment, effective communication skills, and the flexibility to work evenings or weekends as needed. The position offers a competitive salary range of $62,700 - $100,400, and encompasses responsibilities including clinical reviews and collaboration with medical teams. A commitment to high-quality care is essential.
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