Clinical Appeals Nurse: Drive Medical Necessity Wins
Netsmart
Netsmart is seeking a experienced Registered Nurse reviewer to analyze medical records and prepare clinical appeals addressing medical necessity denials and DRG reassignments for hospital clients. The role requires a BSN and active RN license, with 5+ years in an acute care setting and 3+ years in case management or utilization management. Strong medical record review and MS Word skills are essential. #J-18808-Ljbffr Netsmart
Vacancy posted 1 day ago
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