HealthEdge Software, Inc. is seeking a contract-based professional to manage complex grievances and appeals for members and providers in a remote US-based role.
The candidate will review medical necessity across inpatient, outpatient, and ancillary services and prepare documentation for regulatory and accreditation standards. The position requires a USRN license, at least 2 years in utilization management, strong communication, and the ability to work across time zones in a distributed team,
#J-18808-LjbffrRemote Appeals RN: Utilization & Grievance Expert in workfromhome at Unknown Company
This position is listed as contract and able to be worked remotely.