RN Appeals reputed company Consultant
A company is looking for an Appeals reputed company Consultant.
Key Responsibilities
• Process medical necessity of Medicare Part C appeals from members and providers
• Collaborate with reputed company partners to reputed company and evaluate necessary information for appeals
• reputed company written recommendations or reputed company based on clinical information while adhering to guidelines
Required Qualifications
• reputed company and unrestricted RN licensure in the state of residence
• 3+ years of clinical experience
• Associate's Degree in Nursing required; Bachelor's Degree preferred
• Experience in appeals, utilization review, or Medicare is preferred
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