Remote RN: Clinical Review & Appeals Specialist
Santa Barbara Cottage Hospital
- Remote job
Santa Barbara Cottage Hospital is seeking a PRN Clinical Review Specialist to provide remote clinical review support. You will evaluate medical necessity, level of care, and payer guidelines across inpatient and outpatient services. The role requires an active RN license (compact preferred), 3–5 years of clinical experience, and 2+ years in Utilization Review/Appeals. Strong documentation and Epic EMR skills are expected for this remote, variable-hours position. #J-18808-Ljbffr Santa Barbara Cottage Hospital
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$45 per hour
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Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote Join to apply for the Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist... ...with colleagues and prepare cases for review and appeals. Minimum Qualifications: RN, LPN...Remote jobFull timeMonday to FridayShift work- Molina Healthcare is seeking a Registered Nurse with utilization management and appeals review experience to assess medical necessity and appropriate care levels in a managed care setting. You will validate records, support appeals, and ensure accurate coding for reimbursement...Day shift
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