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Remote Clinical Appeals RN - MassHealth Expert

Palo Verde Community College District

Boston, MA
  • Remote job

UnitedHealth Group is seeking a Clinical Appeals RN to attend MassHealth appeal hearings, defend prior authorization decisions, and perform clinical coverage reviews. The role collaborates with managers and peers to uphold quality standards. Applicants must hold an Associate’s degree in Nursing and an unrestricted MA RN license, with 3+ years in managed care or clinical settings. Remote work is possible for MA residents, with 10% travel within MA. #J-18808-Ljbffr Palo Verde Community College District

Vacancy posted 5 days ago
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