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Healthcare Nursing

Remote Clinical Appeals Specialist

Remote / Online - Candidates ideally in
Kalispell, Flathead County, Montana, 59904, USA
Listing for: PacificSource
Remote/Work from Home position
Listed on 2026-03-01
Job specializations:
  • Healthcare
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 70950 - 106424 USD Yearly USD 70950.00 106424.00 YEAR
Job Description & How to Apply Below
A regional health insurance company is seeking an Appeals Clinician to represent clinical appeals accurately. Responsibilities include reviewing care appropriateness and preparing case presentations, collaborating with Medical Directors to ensure timely and compliant resolutions. Ideal candidates will have over three years of nursing or behavioral health experience and a current registered nurse or behavioral health license.

This role offers a competitive salary ranging from $70,950 to $106,424 annually.
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