Phaxis is seeking an experienced registered nurse for a contract role with a New York health plan. You will own clinical grievances and appeals from intake to final decision letters, applying medical necessity judgments based on InterQual/MCG criteria.
The position is 100% remote in the United States, with business hours and occasional evenings or weekends to meet regulatory deadlines. Requires active NY RN license and payer-side experience.
#J-18808-LjbffrRemote RN Utilization & Appeals Specialist (Medicare/Medicaid) in new york at Unknown Company
- Typical pay
- $84,500–$135,200
For context, most registered nurses earn between $84,500–$135,200 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as contract and able to be worked remotely.