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Remote RN: Care Coordinator Clinical Appeals
Remote / Online - Candidates ideally in
Yakima, Yakima County, Washington, 98903, USA
Listed on 2026-08-26
Yakima, Yakima County, Washington, 98903, USA
Listing for:
Premera
Remote/Work from Home
position Listed on 2026-08-26
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
Premera is seeking a Care Coordinator for Clinical Appeals to review medical necessity across inpatient, outpatient, and out-of-network requests, ensuring cost-effective, appropriate care. You will collaborate with medical directors, health care services, and claims operations to apply clinical criteria and policies.
The role emphasizes quality, timeliness, and contributing to improvement programs while supporting patients and providers within a complex healthcare system.
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