Remote RN: Care Coordinator for Clinical Appeals
Premera
Seattle, WA
- Remote job
Premera is seeking a Care Coordinator for Clinical Appeals to review medical necessity across inpatient, outpatient, and out-of-network requests, ensuring cost-effective, appropriate care. You will collaborate with medical directors, health care services, and claims operations to apply clinical criteria and policies. The role emphasizes quality, timeliness, and contributing to improvement programs while supporting patients and providers within a complex healthcare system. #J-18808-Ljbffr Premera
Vacancy posted 2 days ago
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