Wisconsin Licensed Clinical Appeals RN

A company is looking for a Clinical Appeals RN - Remote.

Key Responsibilities :

Perform medical reviews on provider inquiries and member appeals

Ensure compliance with Department of Labor and State guidelines

Accurately document determinations and interpret Plan language

Required Qualifications :

Active, unrestricted RN licensure in the state of residence

5+ years of RN experience in an acute care inpatient facility

Intermediate Microsoft skills (MS Word and Outlook)

Ability to work independently with self-discipline

Access to secure high-speed internet in a designated workspace