A company is looking for an Appeals Nurse Consultant (Remote).
Key Responsibilities
Review and resolve clinical appeals
Interpret data from clinical records to apply clinical criteria and policies
Coordinate clinical resolution with internal / external clinician support as needed
Required Qualifications
Active and unrestricted RN licensure in state of residence
3+ years of clinical experience
Associate's Degree minimum
Nurse Consultant • Tallahassee, Florida, United States