RN Appeals Nurse Consultant
Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025
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Job Description:
A company is looking for an Appeals Nurse Consultant
(Remote).
Key Responsibilities
Review and resolve clinical appeals by interpreting clinical
records and applying appropriate criteria
Coordinate clinical resolutions with internal and external
clinician support as needed
Support various appeal types including UM, MPO, Coding, or
Behavioral Health appeals
Required Qualifications
Active and unrestricted RN licensure in the state of residence
3+ years of clinical experience
Associate's Degree minimum
Keywords: VirtualVocations, La Quinta , RN Appeals Nurse Consultant, Healthcare , Vista, California
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