A leading healthcare staffing firm is seeking a detail-oriented individual for managing medical necessity appeals and claims reviews. The role involves reviewing cases, preparing documentation for the Medical Director, and ensuring compliance with NCQA guidelines. Candidates should have strong computer skills, experience in utilization review or claims appeals, and effective written communication abilities. This position offers a positive work environment and competitive opportunities for career advancement.
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RN Case Manager: Appeals & Denials Specialist in sacramento at Unknown Company
This position is listed as full time and onsite.