Remote Clinical Review Nurse - Denials & UM Improvement
Township of Macomb, Macomb County, Michigan, USA
Listed on 2026-11-06
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Nursing
RN Nurse, Nursing Home, Healthcare Nursing, Nurse Educator
Accede Solutions Inc. is hiring a Remote Clinical Review Nurse (Concurrent Review) for a 12-month contract. The role focuses on NCQA-aligned clinical reviews and drafting correspondence letters related to denial determinations for Medicaid products in IL and MI.
You will collaborate with the correspondence team to maintain letter templates, investigate denials through clinical documentation, and coordinate with state, local, and federal agencies to resolve issues in a timely manner.
The Remote Clinical Review Nurse - Denials & UM Improvement position in the Bio & Pharmacology & Health field is open for applications.
All applications are reviewed carefully by our team.
The position is based in MI, 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.
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