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Remote Clinical Appeals Specialist; RN/LPN
Remote / Online - Candidates ideally in
Newark, Essex County, New Jersey, 07175, USA
Listed on 2026-02-15
Newark, Essex County, New Jersey, 07175, USA
Listing for:
Healthfirst
Remote/Work from Home
position Listed on 2026-02-15
Job specializations:
-
Healthcare
Healthcare Management, Healthcare Administration
Job Description & How to Apply Below
A healthcare organization is looking for an Appeals & Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This position can be remote and requires strong compliance and communication skills. Ideal candidates should be Registered Nurses (RN) or Licensed Practical Nurses (LPN), preferably with a Bachelor's degree and healthcare experience. The role includes resolving clinical cases, ensuring timeliness, and preparing cases for review and appeal processes.
A competitive salary range is offered based on location and experience.
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