Appeals Nurse Consultant - Remote

Overview

The Appeals Nurse Consultant is responsible for reviewing and resolving clinical appeals, ensuring compliance with regulatory and accreditation requirements.

In Short

• Work from home position
• Review and resolve clinical appeals
• Coordinate clinical resolution with clinicians
• Must hold active RN licensure
• 3+ years of clinical experience required
• Experience in appeals and managed care preferred
• Proficient in computer skills
• Exceptional communication skills necessary
• Time management and multitasking abilities required
• Associate's degree minimum education

Requirements

• Active and unrestricted RN licensure
• 3+ years of clinical experience
• Appeals experience preferred
• Managed care experience preferred
• Utilization review experience preferred
• Proficient with multiple systems
• Excellent communication skills
• Highly organized and time-efficient
• Ability to multitask effectively
• Minimum Associate's Degree

Benefits

• Affordable medical plan options
• 401(k) plan with matching contributions
• Employee stock purchase plan
• No-cost wellness programs
• Confidential counseling and financial coaching
• Flexible work schedules
• Paid time off and family leave
• Tuition assistance available
• Retiree medical access
• Comprehensive benefits package