Clinical Appeals RN
Company: VirtualVocations
Location: Hartford
Posted on: November 16, 2024
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Job Description:
A company is looking for a Remote Clinical Appeals RN.
Key Responsibilities
Review and process clinical appeals
Utilize managed care and Medicaid knowledge in decision-making
Conduct utilization reviews as needed
Required Qualifications
Active RN license in Ohio
Associate degree or equivalent relevant experience
At least 1 year of recent experience as a Clinical Appeals RN
Experience in managed care, appeals, and Medicaid preferred
Strongly preferred experience in Utilization Review
Keywords: VirtualVocations, Albany , Clinical Appeals RN, Healthcare , Hartford, New York
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