Appeals Nurse Reviewer: Medical Necessity & Compliance
Arkansas Blue Cross and Blue Shield
Arkansas Blue Cross and Blue Shield is seeking an experienced RN to review appeals of adverse benefit determinations. You will research medical necessity and coverage policy, and exercise independent judgment to ensure fair, compliant decisions. The role requires an active RN license with 5 years of clinical nursing and at least 2 years in utilization review. You will collaborate with medical divisions and respond to state insurance department complaints. #J-18808-Ljbffr Arkansas Blue Cross and Blue Shield
Vacancy posted 4 days ago
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