Remote Utilization Review RN – Appeals & Grievances
Los Angeles, Los Angeles County, California, 90001, USA
Listed on 2026-10-27
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Nursing
Health Edge is seeking a remote (US) Appeals & Grievances Specialist to independently process complex grievances and conduct medical necessity reviews across inpatient, outpatient, and ancillary services. You will prepare documentation for regulatory standards and coordinate with Medical Director for case outcomes.
Ideal candidates have an unrestricted USRN license, 2+ years in utilization management, and strong written/verbal communication.
The Remote Utilization Review RN – Appeals & Grievances role at Health Edge is now open for applications in United States.
This is a Part Time role.
The position is based in United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 55.000 - 83.000.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
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