RN Appeals Specialist — Remote-Eligible Medical Necessity
Houston, Harris County, Texas, 77001, USA
Listed on 2026-10-27
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Nursing
RN Nurse, Clinical Nurse Specialist
Elevance Health is seeking a Nurse Appeals professional to investigate and process medical necessity appeals for members and providers. The role supports remote work with required in-person training and adherence to commuting guidelines.
You will review records, summarize findings, and determine payment decisions using clinical criteria and policies. The position requires an active RN license and a HS diploma, with a preference for AS/BS in Nursing.
The RN Appeals Specialist — Remote-Eligible Medical Necessity role at Elevance Health is now open for applications in United States.
We are looking to fill the RN Appeals Specialist — Remote-Eligible Medical Necessity position at Elevance Health in United States.
Join us at Elevance Health as our next RN Appeals Specialist — Remote-Eligible Medical Necessity in United States.
We are currently recruiting a RN Appeals Specialist — Remote-Eligible Medical Necessity for our team in United States.
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