- CVS Health (Phoenix, AZ)
- …each and every day. **Position Summary** CVS Aetna is seeking a dedicated ** Appeals Nurse Consultant ** to join our remote team. In this role, you will ... role in ensuring fair and accurate resolution of clinical appeals by applying sound clinical judgment and regulatory knowledge....Occasional weekend and holiday on-call coverage may be required. ** Remote Work Expectations** + This is a 100% … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding ... adverse and adverse coverage decisions. The Clinical Appeals Nurse utilizes clinical skills and knowledge...Case Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred **Experience:**… more