Centene Corporation is seeking an experienced appeals liaison to work remotely within the Eastern and Central time zones. The role focuses on review of clinical information to determine medical necessity and preparing compliant appeal letters.
Candidates must hold an active RN or LPN/LVN license with several years of clinical or case management experience, with preferred UR/managed care background. Responsibilities include coordinating with Medical Directors, maintaining logs, and ensuring NCQA
#J-18808-LjbffrRemote Clinical Appeals Coordinator (RN) in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.