Wisconsin Licensed Clinical Appeals RN

A company is looking for a Clinical Appeals RN - Remote.

Key Responsibilities :

Perform medical reviews on provider inquiries and member appeals

Adhere to Department of Labor and State guidelines while maintaining confidentiality

Review and interpret plan language and document determinations accurately

Required Qualifications :

Active, unrestricted RN licensure in the state of residence

5+ years of RN experience in an acute care inpatient facility

Proven intermediate Microsoft skills (MS Word and Outlook)

Designated quiet workspace in the home and access to secure high-speed internet

Ability to work independently with solid self-discipline and time management skills