Remote Clinical Appeals RN - MA (Prior Authorization)
Texas Health Institute
Brooklyn, NY
- Remote job
UnitedHealth Group is seeking a Clinical Appeals RN to attend MassHealth appeal hearings, defend prior authorization decisions, and perform pre-service clinical coverage reviews. You will work with managers and peers to ensure decisions align with guidelines and program requirements. Ideal candidates hold an Associate's degree in Nursing, MA RN license, and 3+ years in Managed Care or clinical settings. Remote work within Massachusetts is available with some travel. #J-18808-Ljbffr Texas Health Institute
Vacancy posted 1 day ago
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