A company is looking for an Appeals Nurse Consultant - Work From Home.
Key Responsibilities
Process medical necessity of Medicare Part C appeals from members and providers
Request clinical information and apply appropriate Medicare guidelines
Work independently and as part of a team in a fast-paced remote environment
Required Qualifications
Active and unrestricted RN licensure in state of residence
Associate's Degree in Nursing
Appeals experience and / or utilization review preferred
Medicare experience preferred
Bachelor's Degree preferred
RN Appeals Nurse Consultant • Rockford, Illinois, United States
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