ApplyBlast uses AI to match you with the right jobs, tailor your resume and cover letter, and apply automatically so you can land your dream job faster.
© All Rights Reserved. ApplyBlast.com
ApplyBlast uses AI to match you with the right jobs, tailor your resume and cover letter, and apply automatically so you can land your dream job faster.
© All Rights Reserved. ApplyBlast.com
Grady Health System
The Clinical Appeals Nurse evaluates the appropriateness of payor clinical denials and level of care status downgrades by working with stakeholders throughout the health system to compose informed, effective appeals to overturn denials. This position requires strong written and verbal communication skills, leveraging clinical experience at the RN level and a firm grasp of utilization review criteria such as InterQual. The role involves tracking the status of appeals within the Epic system, reporting on success rates by payor, and assisting in identifying trends that lead to initial clinical denials.
Headquarters
Atlanta, Georgia, United States
Company Size
5001-10000 employees
Founded
1892
Grady Health System is Atlanta’s downtown nonprofit hospital system with a 135-year history of serving the city. It operates Grady Memorial Hospital plus ten neighborhood health centers and the Grady EMS network, delivering a full continuum of care from trauma and burn services to primary and specialty care. The system hosts nationally recognized programs including Level 1 trauma, burn care, comprehensive stroke and heart and vascular centers, and expansive cancer and mental health services. Grady emphasizes community-focused care and accessibility, earning multiple accreditations and advancing clinical excellence across Atlanta.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for Grady Health System.
Grady Health System didn’t post a salary, so this is our estimate from similar listings.
12% above the average for this role
Denials Management Appeals Nurse (Anesthesia)
Shriners Children's
RN DRG Downgrades Appeals Review Specialist
St. Luke's University Health Network
Patient Accommodation LPN
DCH Health System
Clinical Appeals Nurse - Full Time Remote - Jefferson Health
Thomas Jefferson University
Clinical Denials & Appeals Specialist
WestSource
Senior Clinical Appeals Reviewer
Mount Sinai Medical Center of Florida, Inc.