Working remotely on a full-time basis, the State Licensed Appeal Review Clinician will manage appeals cases, ensure compliance with regulations, and handle health plan and Medicare Quality Improvement Organization appeals. Key Responsibilities Review appeals related to denied authorizations and coverage issues Classify and ensure appeals meet regulatory and organizational requirements Participate in team meetings and maintain professional growth through educational activities Required Qualifications Bachelor's degree or equivalent work experience 4-6 years of clinical nursing or therapy experience Active RN, OT, or PT license