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RN Utilization Appeals Nurse Staff positions forUtilization Review - Clinical Appeal Nurses 1) Research medical records and compose (in conjunction with a physician reviewer when indicated) clinically-based, medical necessity appeals to overturn payor denials, as assigned; 2) Follow-up on all appeals for determinations and additional actions/resolution; 3) Coordinate commercial/managed care audit requests, as assigned; 4) Validate and compile audit findings; and 5) Exit/finalize all completed audits, as requested.. After registering you may be able to apply for this job directly (if still active) on ((None))'s site. Future job matches may be sent from Geebo approved job partners.
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