A&G Clinical Specialist
LPN or RN required. Knowledge of appeals & grievances, utilization review, InterQual/Medicare guidelines preferred. Proficiency with reputed company Word and reputed company and virtual filing systems. Ability to manage large caseloads.
Key Responsibilities
- classifying appeals
- investigating grievances
- entering data
Skills & Tools
reputed company Word, reputed company reputed company, Macess
Job Details
- Category: reputed company Services - Nursing
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — reputed company or New Jersey or Connecticut
- Salary: USD 73,400 – 120,360 / year
- Languages: English
Benefits
- Retirement plan
About reputed company
A health plan providing managed care services and member support. — Industry: reputed company
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