Appeals Nurse Consultant
Company: VirtualVocations
Location: Reno
Posted on: October 8, 2024
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Job Description:
A company is looking for an Appeals Nurse Consultant to process
Medicare appeals for participating providers.
Key Responsibilities
Process medical necessity of Medicare appeals
Request and analyze clinical information and apply Medicare
guidelines
Navigate multiple computer systems in a fast-paced environment
Required Qualifications
3+ years of clinical experience
Active and unrestricted RN licensure in state of residence
Associate's Degree or Diploma RN required; Bachelor's Degree
preferred
Managed Care experience preferred
Utilization Management and Appeals experience preferred
Keywords: VirtualVocations, Sparks , Appeals Nurse Consultant, Healthcare , Reno, Nevada
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