RN, Registered Nurse- Clinical Appeals
Company: Christus Health
Location: Longview
Posted on: April 4, 2021
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Job Description:
Job Description Description Summary: Responsible for the
management and communication of denials/appeals received from third
party payers, managed care companies, and/or government
entities/auditors related to medical necessity and/or level of
care. This associate will be a liaison and point of contact for
clinical denials and appeal inquiries. The Clinical Appeals Nurse
will review each case identified/referred for appeal based on
Milliman Care Guidelines (MCG), InterQual, and/or other relevantby
Jobble
Keywords: Christus Health, Longview , RN, Registered Nurse- Clinical Appeals, Healthcare , Longview, Texas
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