About this role
Nurse Specialist II, Clinical Denials at Knowtion Health. Location: United States. Role: Review documentation, Create analyses, Manage inventory Requirements: RN with at least 2 years in acute care; 3-5 years in utilization review/cost management preferred; experience with InterQual and Milliman criteria; CMS LCD/NCD familiarity beneficial. Category: Healthcare Services - Allied Health Seniority: Mid Level Tools: InterQual, Milliman, CMS LCD/NCD criteria Certifications: rn Commitment: Full Time Workplace: Remote Languages: English