Senior Appeals Resolution Clinician
Horizon Blue Cross Blue Shield of New Jersey - Headquarters
Horizon Blue Cross Blue Shield of New Jersey is seeking an experienced Utilization Management Appeals RN to handle medical appeal cases and ensure timeliness and regulatory compliance for NCQA, URAC, NJ and Federal requirements. You will mentor staff, coordinate with the legal and clinical teams, and support appeals across complex cases while contributing to quality and cost-effectiveness in patient care. #J-18808-Ljbffr Horizon Blue Cross Blue Shield of New Jersey
Vacancy posted 1 day ago
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