Clinical Appeals Nurse
CareSource(14 days ago)
About this role
The Clinical Appeals Nurse is responsible for processing clinical appeals, reviewing medical documentation, and attending state hearings to ensure compliance with regulatory standards. They work closely with various healthcare professionals and agencies to resolve complex cases and document clinical decisions.
Required Skills
- Microsoft Office
- Facets
- Regulations
- Clinical Judgment
- Communication
- Time Management
- Customer Service
- Medicaid
- Medicare
- Utilization Review
Qualifications
- Assosciate’s Degree
- RN License
- MCG Certification
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