RN Utilization & Medical Appeals Specialist
Listed on 2026-10-30
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Nursing
RN Nurse
Med Star Health in Maryland seeks an experienced nurse to manage medical appeals, review clinical information, and prepare summaries for Medical Director review. The role includes ER review activities and adherence to NCQA Maryland COMAR and Med Star Family Choice policies.
The ideal candidate has an active Maryland nursing license, 5–7 years of clinical experience, and 1–2 years of utilization review experience, with prior appeals exposure preferred.
We invite applications for the RN Utilization & Medical Appeals Specialist position located in MD, United States.
The position is based in MD, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 89..
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
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