RN Appeals Specialist Remote-Eligible Medical Necessity
Elevance Health
Elevance Health is seeking a Nurse Appeals professional to investigate and process medical necessity appeals for members and providers. The role supports remote work with required in-person training and adherence to commuting guidelines. You will review records, summarize findings, and determine payment decisions using clinical criteria and policies. The position requires an active RN license and a HS diploma, with a preference for AS/BS in Nursing. #J-18808-Ljbffr
Vacancy posted 5 days ago
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