Remote Clinical Appeals Nurse Specialist

A healthcare services company is seeking a Clinical Appeal and Grievance Nurse to manage medical necessity and benefit appeals. This remote role requires an active RN or LPN license and a minimum of 5 years' experience in Clinical Appeals and Grievances. Key responsibilities include analyzing appeals, ensuring compliance with regulatory guidelines, and collaborating with internal teams to foster improvement. Excellent communication skills and proficiency in Microsoft Office are required. Join a dynamic environment focused on high-quality patient care.
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