Remote RN: Appeals & Quality Review Specialist

HCSC Group

Remote job

HCSC is seeking an experienced Registered Nurse to facilitate member and provider appeals and ensure processes meet guidelines and audit standards. You will partner with Medical Directors and Customer Service to drive quality care while managing workflow and inventory. The role requires a valid RN license, at least 5 years of healthcare experience, and knowledge of managed care. This is a remote/work-from-home position with standard CST hours and occasional time shifts. #J-18808-Ljbffr HCSC Group

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Vacancy posted 2 days ago

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