About this role
Nurse Reviewer Appeals and Hearings- Remote at Gainwell Technologies LLC. Location: Texas or United States. Role: reviewing appeals, preparing summaries, training reviewers Requirements: Active unrestricted US RN license (NLC accepted), 5+ years clinical or coding experience, 3+ years utilization review/claims auditing, knowledge of appeals/hearings, experience with MCG or InterQual preferred, strong written/oral communication. Category: Healthcare Services - Nursing Seniority: Senior Level Tools: MCG, InterQual Certifications: rn, nlc, coding Commitment: Full Time Workplace: Remote Languages: English