Revenue Cycle Appeals Registered Nurse – Remote

Employer Industry: Healthcare Services Why Consider this Job Opportunity... - Salary up to $46.28 per hour - Competitive benefits package - Opportunity for career advancement and growth within the organization - Leadership to guide your career development - Competitive pay and incentives - Chance to redefine healthcare services What to Expect (Job Responsibilities): - Perform retrospective medical necessity reviews - Utilize medical necessity criteria sets effectively - Support the clinical appellate process - Adhere to department standards for productivity and quality goals - Utilize electronic tools for efficient workflow What is Required (Qualifications): - Must possess a valid nursing license - Minimum of 3 years recent acute care experience - Minimum of 2 years UR/Case Management experience - Appeals writing experience preferred - Managed care payor experience a plus How to Stand Out (Preferred Qualifications): - Previous classroom led instruction on InterQual® products - Critical thinker with decision-making skills - Ability to interact professionally with clinical and non-clinical partners At Talentify, we prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. Talentify is not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer Apply Job!