Authorization Appeals Clinical Reviewer (RN)
Wellsky
WellSky is seeking an Authorization Management Clinical Reviewer – Appeals and Denials to evaluate medical necessity across acute and post-acute settings. You will review records, apply InterQual guidelines, and determine appropriate appeal paths, working with physicians and care teams. In this role, you will manage denials from initial notification to final resolution, ensure timely follow-up, and contribute to process improvements while complying with regulatory standards and payer #J-18808-Ljbffr Wellsky
Vacancy posted 3 days ago
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