Remote RN Utilization & Appeals Specialist; Medicare/Medicaid
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Nursing
Job Description & How to Apply Below
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.
Join us at Phaxis as our next Remote RN Utilization & Appeals Specialist (Medicare/Medicaid) in New York, NY, United States.
We are looking to fill the Remote RN Utilization & Appeals Specialist (Medicare/Medicaid) position at Phaxis in New York, NY, United States.
The Remote RN Utilization & Appeals Specialist (Medicare/Medicaid) role at Phaxis is now open for applications in New York, NY, United States.
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