Nurse » RN » Apex Systems

Registered Nurse at Apex Systems in Des Moines, IA

📌 Des Moines 🏷️ Other 🕑 2021-05-08
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Clinical Appeals RN Consultant

Job Title: Clinical Appeals RN Remote Opportunity Start Date: Nov. 9th or asap Contract Duration: 3 months with possibility of extension (The client could possibly go back onsite if there was an extension.) 40 hours/week preferred
- Some weeks where hours are less than 40 due to work volume fluctuation. The Clinical Appeal Consultant will provide assessment and written analysis of individual case review and the consistent application of applicable criteria, rules, provider payment processes and member benefits, while assuring compliance with regulatory rules and accreditation standards related to clinical appeals and special inquiries. Additionally, this individual will serve as a resource and subject matter expert to all levels within the organization on accreditation and compliance as related to appeal activities.

View Application

You will be redirected to Apex Systems's preferred application process.

You will be redirected to Apex Systems's preferred application process.

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