Clinical Review RN: Medical Necessity & Appeals Expert
Blue Cross Blue Shield of Michigan
Blue Cross Blue Shield of Michigan seeks a Med Review and Appeals RN to perform prospective, concurrent and retrospective reviews across inpatient, outpatient and ancillary care, ensuring medical necessity and appropriate level of care. The role requires a Michigan RN license, discharge planning, case management experience and strong documentation. Certification in Case Management may be preferred, with knowledge of InterQual criteria and appeal processes. #J-18808-Ljbffr Blue Cross Blue Shield of Michigan
Vacancy posted 1 day ago
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