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Tanaq Support Services LLC · United States

Clinical Appeals & Grievances Nurse Reviewer

5 questions could change whether this job is worth your time.

Shift

Rotating

Weekends, holidays, call, and rotation

or Mountain Time Zone business hours with availability for rotating weekends and holidays.

Requirements

Active, unrestricted RN license in good standing (no restrictions or encumbrances); 3 years of experience in medical dispute resolution, Medicare appeals, medical review, clinical review, or related healthcare setting; Demonstrated experience writing or making appeal or payment determinations; Experience using Microsoft 365, including Excel and Word; Pass Federal and state criminal background checks; Pass education, certification and license verification; Pass drug screen; Legally authorized to work in the United States without employer sponsorship

All stated details
Role
Clinical Appeals & Grievances Nurse Reviewer
Role details
Clinical Documentation · Appeals & Grievances
Shift
Rotating
Weekends, holidays, call, and rotation
or Mountain Time Zone business hours with availability for rotating weekends and holidays.
Location and setting
United States; telehealth
Requirements
Active, unrestricted RN license in good standing (no restrictions or encumbrances); 3 years of experience in medical dispute resolution, Medicare appeals, medical review, clinical review, or related healthcare setting; Demonstrated experience writing or making appeal or payment determinations; Experience using Microsoft 365, including Excel and Word; Pass Federal and state criminal background checks; Pass education, certification and license verification; Pass drug screen; Legally authorized to work in the United States without employer sponsorship
Hiring employer
Tanaq Support Services LLC
Posting status
Active