HealthEdge is seeking a remote (US) Appeals & Grievances Specialist to independently process complex grievances and conduct medical necessity reviews across inpatient, outpatient, and ancillary services. You will prepare documentation for regulatory standards and coordinate with Medical Director for case outcomes.
Ideal candidates have an unrestricted USRN license, 2+ years in utilization management, and strong written/verbal communication.
#J-18808-LjbffrRemote Utilization Review RN - Appeals & Grievances in workfromhome at Unknown Company
- Typical pay
- $85,280–$132,233
For context, most registered nurses earn between $85,280–$132,233 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 full time and able to be worked remotely.