Clinical Appeals Nurse: Medicare Denials Specialist
Listed on 2026-09-18
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Healthcare
Healthcare Management
Netsmart is seeking a Clinical Appeals Reviewer to prepare professional appeals responding to medical necessity denials and DRG reassignments. The role requires reviewing medical records, applying Medicare guidelines, and presenting oral arguments in ALJ hearings.
The ideal candidate will hold a BSN, be licensed as an RN in the state, and have several years of acute care and case management experience, with strong written communication and MS Word proficiency.
This role, Clinical Appeals Nurse:
Medicare Denials Specialist , could be your next move.
The Clinical Appeals Nurse:
Medicare Denials Specialist position in the Legal, Bio & Pharmacology & Health field is open for applications.
We have an opening for a Clinical Appeals Nurse:
Medicare Denials Specialist in United States within Legal, Bio & Pharmacology & Health.
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