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RN, Registered Nurse- Clinical Appeals

Company: Christus Health
Location: Longview
Posted on: April 4, 2021

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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