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Clinical Appeals RN: Denials & Medical Necessity
Job in
Houston, Harris County, Texas, 77246, USA
Listed on 2026-06-17
Listing for:
Payfuture Technologies
Full Time
position Listed on 2026-06-17
Job specializations:
-
Nursing
RN Nurse
Job Description & How to Apply Below
Payfuture Technologies is seeking an Appeals and Grievance Registered Nurse to manage clinical appeals and handle communication with healthcare teams regarding denial rationales. Responsibilities include reviewing appeals based on medical necessity and ensuring timely filing of appeals.
The ideal candidate should hold an Associate's Degree in Nursing and an RN License. The position is full-time with a work schedule of 5 days, 8 hours each day, located in Houston, Texas.
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