Senior Nurse Appeals Consultant (Remote)
CVS Health
- Remote job
CVS Health is seeking an experienced Appeals Reviewer with an active RN license to administer review and resolution of clinical complaints and appeals across Medicare/Medicaid programs. You will interpret data from clinical records to apply applicable criteria and policies, ensuring compliance with regulatory and accreditation standards. You will collaborate with internal teams, counsel members and providers, and mentor junior colleagues while maintaining HIPAA safeguards and high-quality #J-18808-Ljbffr CVS Health
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