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Appeals Nurse - Medical Necessity & Care Review
Job in
Houston, Harris County, Texas, 77246, USA
Listed on 2026-07-23
Listing for:
Harris Health System, Inc.
Full Time
position Listed on 2026-07-23
Job specializations:
-
Nursing
Healthcare Nursing, Public Health Nurse
Job Description & How to Apply Below
Community Health Choice, Inc. (Community) is seeking an Appeals Nurse to review medical records for appeals, determine medical necessity and level of care, and provide written outcomes to providers and members.
You will help maintain a tracking database and support data reporting efforts. The role requires a current Texas RN license and at least one year of experience in medical reviews and managed care, with strong written and verbal communication skills.
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