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Form of workJob Description
Job description:
Position: Appeals Nurse-REMOTE OH
Pay: $28-$34/hour
Shift: 08:00 AM to 05:00 PM
Hours per week: 40 hours
Assignment Length: 6 months
Employment Type: REMOTE in OH (Columbus area preferred)
Walk me through the day to day responsibilities of this the role and a description of the project:
Perform appeal review for medical necessity, complete appeal cases (making determination, documenting outcome, sending out letter, and closing out appeal in system).
Describe the performance expectations/metrics for this individual and their team
10 to 15 appeals a day after training. Not letting any items in work queues go over compliance Turn Around Time.
Tell me about what their first day looks like:
Obtain access to systems and attend trainings on criteria for making utilization and appeal decisions in the system.
What previous job titles or background work will in this role?
Utilization review nurse, appeal review nurse and direct patient care experience
Required Skills/Experience:
Benefits and Compensation:
LPN/RN both can apply
#Healthcare
