More jobs:
Appeals Nurse Consultant
Job in
Norwalk, Fairfield County, Connecticut, 06860, USA
Listed on 2026-06-04
Listing for:
CVS Health
Full Time
position Listed on 2026-06-04
Job specializations:
-
Nursing
Healthcare Nursing, RN Nurse
Job Description & How to Apply Below
Job Description:
- Responsible for the review and resolution of clinical appeals
- Reviews documentation and interprets data obtained from clinical records
- Independently coordinates the clinical resolution with internal/external clinician support as required
- Support UM, MPO, Coding, or Behavioral Health appeals.
- Must have active and unrestricted RN licensure in state of residence
- 3+ years clinical experience
- Appeals, Managed Care, or Utilization Review experience preferred
- Proficiency with computer skills including navigating multiple systems
- Exceptional communication skills
- Time efficient, highly organized, and ability to multitask
- Associate's Degree minimum.
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
To View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(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).
(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).
Search for further Jobs Here:
×