Remote Appeals & Grievances Specialist; RN/LPN/DH
Remote / Online - Candidates ideally in
Harrisburg, Dauphin County, Pennsylvania, 17124, USA
Listed on 2026-06-26
Harrisburg, Dauphin County, Pennsylvania, 17124, USA
Listing for:
Healthfirst
Remote/Work from Home
position Listed on 2026-06-26
Job specializations:
-
Healthcare
Job Description & How to Apply Below
A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching issues, and ensuring compliance with regulations. Ideal candidates should have experience in clinical practice and knowledge of Utilization Review Guidelines. The position offers a competitive salary and an opportunity to work with a dynamic team.
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