Remote NY RN Grievance & Appeals Specialist
Mount Vernon, Westchester County, New York, 10550, USA
Listed on 2026-11-07
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Nursing
RN Nurse
Phaxis is seeking an experienced RN to own grievance and appeals cases from intake to final decision in a fully remote setting. You will handle outpatient and community-based care grievances, applying medical necessity criteria and regulatory rules.
The ideal candidate has 3+ years in RN grievance/appeals, familiarity with CMS Part C and NY Medicaid/MLTC, and strong clinical writing. Prior utilization/case management foundation preferred, with ability to manage multiple cases under tight
As a Remote NY RN Grievance & Appeals Specialist, you will play an important part at Phaxis in New York, NY, United States.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
This is a Full Time role.
The position is based in New York, NY, United States.
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