About this role
Clinical Appeals Nurse (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: investigating appeals, organizing cases, communicating decisions Requirements: Active RN licensure, 3+ years clinical experience in medical review/utilization management or RN direct care, BSN or equivalent experience, knowledge of medical terminology, regulatory requirements, appeals process, and Microsoft Office. Category: Healthcare Services - Nursing Seniority: Mid Level Tools: Microsoft Office Certifications: rn Commitment: Full Time Workplace: Remote Languages: English