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Appeals Nurse 2

Company: VirtualVocations
Location: Montgomery
Posted on: June 4, 2024

Job Description:

A company is looking for an Appeals Nurse.

Key Responsibilities:

Review medical documentation and coordinate peer reviews
Provide education to beneficiaries and providers on review processes
Maintain knowledge of TRICARE policies and medical necessity criteria

Required Qualifications:

Active unrestricted RN license
3 years of clinical RN experience
Proficiency in Microsoft Office products
Experience with appeals/utilization review and TRICARE contracts
Bachelor's degree preferred

Keywords: VirtualVocations, Montgomery , Appeals Nurse 2, Healthcare , Montgomery, Alabama

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