Appeals Nurse

Evolent Specialty Services, Inc(2 months ago)

RemoteFull TimeSenior$74,000 - $84,000Clinical Operations

About this role

Evolent is hiring an RN for its Specialty Appeals Team, supporting a dedicated client with post-determination appeal intake and coordination. The role focuses on delivering timely, customer-centric outcomes within a collaborative team environment while working within established health plan and accreditation timeframes. The position includes an evening-coverage rotation and is part of Evolent’s mission-driven healthcare services organization.

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Required Skills

Utilization Management
Appeals Review
Clinical Documentation
Case Intake
Customer Service
Timeliness Compliance
Stakeholder Communication
Retrospective Review
Microsoft Office
Time Management

Qualifications

Registered Nurse (RN)

About Evolent Specialty Services, Inc

evolent.com

Evolent Health is a healthcare technology and services company focused on transforming the way healthcare is delivered and paid for. By leveraging their innovative platform, Evolent partners with health systems to improve patient outcomes, reduce costs, and streamline operations across diverse care settings. Their solutions include support for population health management, care delivery optimization, and value-based care models, all aimed at enhancing the provider and patient experience in the American healthcare system. Evolent is dedicated to simplifying healthcare complexities to create a more effective and efficient care environment.

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