Remote Clinical Appeals Reviewer (RN)
Centene Management Company
New York, NY
- Remote job
Centene Management Company is seeking a licensed RN to perform clinical reviews for appeals, examining medical records and data to determine medical necessity in line with NCQA standards. This is a fully remote role, with a preference for an active, unrestricted New York RN license. The position requires 2+ years in acute care or utilization management or appeals, and knowledge of MCG/InterQual criteria as well as NY Medicaid, Medicare, and Marketplace appeal regulations. #J-18808-Ljbffr Centene Management Company
Vacancy posted 42 minutes ago
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