Grievance & Appeals Nurse Specialist (2 Openings)
Job Description Department(s): Grievance and Appeals Resolution Services (GARS) Reports to: Manager Clinic Operations, Grievance & Appeals FLSA status: Non-Exempt Salary Grade: M – $85,000 – $121,000 The Grievance and Appeals Nurse Specialist participates in managing the organization’s medical appeals and State Hearing reviews for all lines of business; including handling expedited and standard requests. Ensures appeals and State Hearing requests are processed in accordance with regulations, compliance standards and policy and procedures. Investigation and […]
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