About this role
Clinical Denials and Appeals RN at Guidehouse. Location: Birmingham or United States. Role: conduct reviews, validate records, identify denials Requirements: Registered nurse with 4-6 years acute care experience; experience in clinical denials, utilization review, case management, or appeals; active RN license. Category: Healthcare Services - Allied Health Seniority: Mid Level Tools: InterQual, Milliman Care Guidelines, Electronic Medical Records, EMR Certifications: registered nurse Commitment: Full Time Workplace: Remote Languages: English