Ohio Licensed Clinical Appeals Nurse
Company: VirtualVocations
Location: Vista
Posted on: May 15, 2025
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Job Description:
A company is looking for a Clinical Appeals Nurse to manage
clinical appeals and state hearings remotely.
Key Responsibilities
Complete clinical appeals and state hearings from all states within
required timeframes
Prepare State Hearing packets and communicate with state agencies
and internal departments
Maintain documentation accuracy and conduct appeals reporting
Required Qualifications
Bachelor's degree in Finance, Business, Economics, Engineering, or
a valid RN License is required
Associates Degree or equivalent relevant experience is required
Managed care, appeals, and Medicaid experience preferred
Utilization review experience is strongly preferred
Current, unrestricted RN license and MCG Certification required
within six months of hire
Keywords: VirtualVocations, Alhambra , Ohio Licensed Clinical Appeals Nurse, Healthcare , Vista, California
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