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Healthcare Management

Remote Clinical Appeals Nurse — Complex Appeals & Hearings

Remote / Online - Candidates ideally in
Covington, Kenton County, Kentucky, 41011, USA
Listing for: CareSource
Remote/Work from Home position
Listed on 2026-02-19
Job specializations:
  • Healthcare
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 62700 - 100400 USD Yearly USD 62700.00 100400.00 YEAR
Job Description & How to Apply Below
A healthcare organization is seeking a Clinical Appeals Nurse to process clinical appeals and attend state hearings. The ideal candidate must have an Associate's Degree and an active RN license. This role demands strong clinical judgment, effective communication skills, and the flexibility to work evenings or weekends as needed. The position offers a competitive salary range of $62,700 - $100,400, and encompasses responsibilities including clinical reviews and collaboration with medical teams.

A commitment to high-quality care is essential.
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