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Clinical Appeals Nurse – Medicare & Regulatory Review
Job in
Clearwater Park, Alleghany County, Virginia, USA
Listed on 2026-07-08
Listing for:
BayCare Health System
Full Time
position Listed on 2026-07-08
Job specializations:
-
Healthcare
Healthcare Management
Job Description & How to Apply Below
Bay Care Health System is seeking an experienced Registered Nurse to manage clinical appeals and case management. You will conduct reviews, ensure compliance, and collaborate with a variety of healthcare professionals.
The role requires a minimum of 2 years of experience in a health plan, preferably with Medicare Advantage knowledge. This full-time position offers a hybrid work model, with occasional weekend work and responsibilities to meet state and federal compliance standards.
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