Remote RN Utilization & Appeals Specialist; Medicare/Medicaid
Mount Vernon, Westchester County, New York, 10550, USA
Listed on 2026-11-07
-
Nursing
RN Nurse
Phaxis is seeking an experienced registered nurse for a contract role with a New York health plan. You will own clinical grievances and appeals from intake to final decision letters, applying medical necessity judgments based on Inter Qual/MCG criteria.
The position is 100% remote in the United States, with business hours and occasional evenings or weekends to meet regulatory deadlines. Requires active NY RN license and payer-side experience.
Step into the Remote RN Utilization & Appeals Specialist (Medicare/Medicaid) role at Phaxis in New York, NY, United States and grow with us.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
The position is based in New York, NY, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).