Clinical Appeals Nurse Multi-State Reviews & Hearings

A health care organization is seeking a Clinical Appeals Nurse to process clinical appeals and attend state hearings, ensuring compliance with regulatory standards. Ideal candidates should possess an Associate’s Degree, valid RN license, and experience in managed care and appeals. Responsibilities include analyzing medical records, documenting cases, and communicating effectively with members and providers. This role offers a flexible working environment in Indiana with competitive compensation and a commitment to employee well-being.
#J-18808-Ljbffr