Appeals Clinician (Monday - Friday)
PacificSource Health Plans(1 month ago)
About this role
An Appeals Clinician at PacificSource represents the clinical component of health plan appeals, ensuring clinical context and regulatory considerations inform appeal determinations. The role connects clinical expertise with organizational decision-making and supports member access to appropriate care.
Required Skills
- Accountability
- Collaboration
- Communication
- Flexibility
- Active Listening
- Organization
- Problem Solving
- Teamwork
- Clinical Review
- Policy Interpretation
+3 more
Qualifications
- Registered Nurse
- Licensed Behavioral Health Specialist
- Unrestricted State License
- State Licensure (OR/MT/ID/WA within 6 months)
About PacificSource Health Plans
pacificsource.comPacificSource offers health insurance plans for individuals, families, and employers. A Northwest not-for-profit, we put members first.
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