CVS Health Corporation

Remote RN Appeals Nurse Consultant

CVS Health Corporation

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Location

Remote, OR

Job Type

FULLTIME

Remote

Yes

Role Type

RN

Job Description

A company is looking for an Appeals Nurse Consultant (Remote). Key Responsibilities • Review and resolve clinical appeals • Interpret clinical records and apply relevant clinical criteria and policies • Coordinate clinical resolution with internal/external clinician support as needed Required Qualifications • Active and unrestricted RN licensure in the state of residence • 3+ years of clinical experience • Associate's Degree minimum

Key Responsibilities

  • Review and resolve clinical appeals
  • Interpret clinical records and apply relevant clinical criteria and policies
  • Coordinate clinical resolution with internal/external clinician support as needed

Qualifications

  • Active and unrestricted RN licensure in the state of residence
  • 3+ years of clinical experience
  • Associate's Degree minimum

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