Remote RN: Grievances & Appeals Specialist
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Nursing
RN Nurse
Job Description & How to Apply Below
Centene is seeking a California-licensed nurse (RN or LPN/LVN) for a remote role aligned to Pacific Standard Time hours. You will facilitate medical necessity grievances, appeals, and denials, review clinical data, and determine if criteria are met under NCQA guidelines and company policies.
Responsibilities include overturning denials when appropriate, preparing case reviews for the Medical Director, coordinating with providers, and ensuring timely appeals.
This is an excellent opening to take on the Remote RN:
Grievances & Appeals Specialist role at Centene.
The Remote RN:
Grievances & Appeals Specialist role at Centene is now open for applications in CA, United States.
Join us at Centene as our next Remote RN:
Grievances & Appeals Specialist in CA, United States.
We are currently recruiting a Remote RN:
Grievances & Appeals Specialist for our team in CA, United States.
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