Cerrada a tu país
Côte d’Ivoire
Solo Estados Unidos
68.000 – 113.000 $
Salario
Pago
No indicado
Idioma
Inglés
Categoría
Otro
Nivel
Misiones grandes
Dónde
En línea
Contrato
Empleo remoto
Un complemento realista, nunca un salario garantizado.
Job Family: Clinical Appeals Nurse Travel Required: None Clearance Required: None What You Will Do: Conduct pre‑ and post‑service medical necessity reviews for inpatient, observation, and outpatient hospital encounters using evidence‑based criteria such as InterQual and Milliman Care Guidelines. Perform retrospective medical record reviews to validate completeness and accuracy of physician and clinical documentation supporting level of care and services rendered. Identify denial root causes…