Responsibilities: Positions in this function include RN roles (with current unrestricted licensure in applicable state) responsible... for providing clinical expertise in any of the following areas: Clinical Interface/Liaison (clinical problem solver...
Responsibilities: Positions in this function include RN roles (with current unrestricted licensure in applicable state) responsible... for providing clinical expertise in any of the following areas: Clinical Interface/Liaison (clinical problem solver...
is needed. The Clinical Denial Specialist will write / submit professionally written appeals including arguments based on the... clinical documentation, payer medical policies and contract language. The appeals will be submitted timely and tracked...
on role and grade level. Provides clinical support for performing clinical review of appeals, and may also review quality... in this function require RN licensure with current unrestricted licensure in applicable state, and may require certification based...
on role and grade level. Provides clinical support for performing clinical review of appeals, and may also review quality... in this function require RN licensure with current unrestricted licensure in applicable state, and may require certification based...