Remote RN Clinical Appeals Nurse – Utilization & Appeals

A leading healthcare provider is seeking a Remote RN Clinical Appeals Nurse to support internal appeals clinical processes. The role involves assessing appropriateness of services, evaluating medical claims, and ensuring compliance with regulatory requirements. Candidates should have an active RN license, with at least 3 years of clinical nursing experience, particularly in utilization review. Strong communication, critical thinking, and proficiency in Microsoft Office are required.

This position offers a competitive salary with benefits.
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