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Remote Clinical Appeals Nurse; CA
Remote / Online - Candidates ideally in
Philadelphia, Philadelphia County, Pennsylvania, 19117, USA
Listed on 2026-07-10
Philadelphia, Philadelphia County, Pennsylvania, 19117, USA
Listing for:
Alignment Healthcare USA, LLC
Full Time, Remote/Work from Home
position Listed on 2026-07-10
Job specializations:
-
Healthcare
Healthcare Management
Job Description & How to Apply Below
Alignment Healthcare USA, LLC is looking for a full-time California Licensed Clinical Appeals Nurse to work in a fully remote environment. In this role, you will review and process appeals for inpatient and outpatient services, collaborate with medical directors, and ensure timely and accurate appeal determinations.
The ideal candidate will have a California nursing license and experience in clinical nursing, utilization management, or appeals within a managed care setting.
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