Senior Clinical Denials & Appeals RN
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Nursing
RN Nurse, Nurse Educator
Job Description & How to Apply Below
Guidehouse is seeking a Clinical Appeals Nurse to conduct pre- and post-service medical necessity reviews for inpatient, observation, and outpatient hospital encounters, using Inter Qual and Milliman criteria.
The role requires RN licensure and 6–8 years of acute care experience, with experience in denials, utilization review, or appeals; you will prepare and track appeals, collaborate across teams, and ensure documentation compliance.
We are currently recruiting a Senior Clinical Denials & Appeals RN for our team in Atlanta, GA, United States.
Step into the Senior Clinical Denials & Appeals RN role at Guidehouse in Atlanta, GA, United States and grow with us.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
The position is based in Atlanta, GA, United States.
Position Requirements
10+ Years work experience(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
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