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Healthcare Nursing

Utilization Review RN - Medical Necessity Appeals Expert

Job in Richardson, Dallas County, Texas, 75080, USA
Listing for: w3r Consulting
Full Time position
Listed on 2026-02-16
Job specializations:
  • Nursing
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
A healthcare consulting firm in Richardson, Texas, is seeking a Registered Nurse (RN) to perform medical reviews in the insurance industry. The candidate will evaluate treatment plans for medical necessity and appropriateness. Responsibilities include accurate claim reviews and effective communication with providers and members. Applicants should possess a minimum of 3 years clinical experience, with specific licensing required. This role emphasizes both clinical expertise and understanding of health insurance protocols.
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