About this role
A&G Clinical Specialist at Healthfirst. Location: New York or New Jersey or Connecticut. Role: classifying appeals, investigating grievances, entering data Requirements: LPN or RN required. Knowledge of appeals & grievances, utilization review, InterQual/Medicare guidelines preferred. Proficiency with Microsoft Word and Excel and virtual filing systems. Ability to manage large caseloads. Category: Healthcare Services - Nursing Seniority: Mid Level Tools: Microsoft Word, Microsoft Excel, Macess Certifications: lpn, rn Commitment: Full Time Workplace: Remote Languages: English