What are the responsibilities and job description for the RN Appeals Nurse Consultant position at VirtualVocations?
A company is looking for an Appeals Nurse Consultant (Remote).Key ResponsibilitiesReview and resolve clinical appeals by interpreting clinical records and applying appropriate criteriaCoordinate clinical resolutions with internal and external clinician support as neededSupport various types of appeals including Utilization Management, Coding, and Behavioral HealthRequired QualificationsActive and unrestricted RN licensure in state of residence3 years of clinical experienceAssociate's Degree minimum
