Wisconsin Licensed Clinical Appeals RN
Company: VirtualVocations
Location: Oakland
Posted on: February 20, 2025
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Job Description:
A company is looking for a Clinical Appeals RN to review appeals
and provider inquiries for clinical eligibility for coverage.
Key Responsibilities
Perform medical reviews on provider inquiries and member
appeals
Adhere to Department of Labor and State guidelines
Accurately document determinations and review plan language
Required Qualifications
Active, unrestricted RN licensure in the state of residence
5+ years of RN experience in an acute care inpatient facility
Intermediate Microsoft skills (MS Word and Outlook)
Ability to work independently with a designated quiet workspace
Access to secure high-speed internet at home
Keywords: VirtualVocations, Oakland , Wisconsin Licensed Clinical Appeals RN, Healthcare , Oakland, California
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