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 license, 3+ years clinical experience (medical review/utilization management preferred), BLS/CPR, knowledge of regulatory requirements, Microsoft Office, strong communication and analytical skills. Category: Healthcare Services - Nursing Seniority: Mid Level Tools: Microsoft Office Certifications: rn, ccm, lncc Commitment: Full Time Workplace: Remote Languages: English